MR. Jerry Duane Weber, LISW

NPI #1710176516 in Louisville, Ohio

Provider Information

NPI Number: 1710176516
Entity Type: Individual
Name: MR. Jerry Duane Weber, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Oct 17, 2007
Last Updated: Nov 10, 2008

Practice Location

Address: 1520 CALIFORNIA AVE
City: Louisville
State: Ohio
ZIP Code: 44641
Phone: (330) 581-3681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker	104100000X	Primary

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