Most Relevant Information
Provider Data
| NPI Number: | 1003181454 |
| Provider Name: | VICKI L WEIDMAN MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SC05498400 |
Most Important Dates
| Enumeration Date: | 03/19/2012 |
| Last Updated: | 01/30/2015 |
Provider Practice Location
7 ALPINE DR
PERRINEVILLE
NJ
085351125
Practice Location Phone/Fax
| Phone: | 2019131492 |
| Fax: |
Provider Mailing Location
7 ALPINE DR
PERRINEVILLE
NJ
085351125
Provider Mailing Phone/Fax
| Phone: | 2019131492 |
| Fax: |