Alicia Weaver

NPI #1225734247 in Crestview, Florida

Provider Information

NPI Number: 1225734247
Entity Type: Individual
Name: Alicia Weaver
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 1, 2023
Last Updated: Feb 1, 2023

Practice Location

Address: 4861 LEYLAND LN
City: Crestview
State: Florida
ZIP Code: 32536-6417
Phone: (850) 502-7603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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