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NPI Code Detail

MEDICARE: JENNIFER L WEBER LCSW

MEDICARE:   JENNIFER L WEBER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW14006FL

General Provider Information

NPI Number : 1124776356
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L WEBER LCSW
Provider Business Mailing Address
First Line : 100 VILLAGE SQUARE XING STE 106
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4531
Country : US
Telephone Number : 561-287-2469
Fax Number :
Provider Business Practice Location Address
First Line : 100 VILLAGE SQUARE XING STE 106
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4531
Country : US
Telephone Number : 561-287-2469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2022
Last Update Date : 03/16/2022

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Directions to “ JENNIFER L WEBER LCSW” Practice Location

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