Barbara A Weaver, LCSW
Social Worker, Clinical in Manila, AR. Individual provider (NPI-1).
NPI number1124074802
StatusActive
Last updated in NPPESApr 7, 2022
Details
- NPI
- 1124074802
- Entity type
- Individual (NPI-1)
- Name
- Barbara A Weaver
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2006
- Certification date
- Apr 7, 2022
- Last updated
- Apr 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1313-C | AR | Yes |
Practice location
920 Medical DrManila, AR 72442-8416
Phone 870-570-0358
Mailing address
Po Box 717Manila, AR 72442-0717
Phone 870-570-0358
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