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MS. TAMARA LYN WEAVER LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1770618407

Individual Registrant:
MS. TAMARA LYN WEAVER LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1600 BAILEY AVE STE 2  NEEDLES, CA 92363-3105 US
Tel: 760-326-9272  Fax: 760-326-9259

Contact information for business:
1600 BAILEY AVE STE 2  NEEDLES, CA 92363-3105 US
Tel: 760-326-9272  Fax: 760-326-9259

Registration Information:
NPI: 1770618407
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA25342

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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