Gina Weidow, LCSW

NPI #1679185565 in Forty Fort, Pennsylvania

Provider Information

NPI Number: 1679185565
Entity Type: Individual
Name: Gina Weidow, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 20, 2020
Last Updated: Jun 18, 2025

Practice Location

Address: 1169 WYOMING AVE
City: Forty Fort
State: Pennsylvania
ZIP Code: 18704-4003
Phone: (570) 904-7363

Specialties & Taxonomy Codes

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

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