Mary Anne D. Weaver, LICSW
Social Worker, Clinical in East Greenwich, RI. Individual provider (NPI-1).
NPI number1861979478
StatusActive
Last updated in NPPESJul 26, 2018
Details
- NPI
- 1861979478
- Entity type
- Individual (NPI-1)
- Name
- Mary Anne D. Weaver
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2018
- Last updated
- Jul 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 115746 | MA | Yes |
Practice location
4 Juniper DrEast Greenwich, RI 02818-1352
Phone 401-487-2444
Mailing address
4 Juniper DrEast Greenwich, RI 02818-1352
Phone 401-487-2444
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