Whalio Doctors

NPI 1033156393

Craig L. Weickert, LICSW

Practitioner Clinical Social Worker Moorhead, MN

Practice location

Address
1010 32nd Ave S, Moorhead, MN 56560-5001
Phone
(218) 233-7524
Fax
(218) 233-8627
Mailing address
904 18th St N, Moorhead, MN 56560-1826

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 12584 (MN)

Registry record

NPI
1033156393
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jun 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.