Weaver-Brooks, Annette

Weaver-Brooks, Annette is an individual health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weaver-Brooks, Annette can be contacted via phone (860) 694-7567.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349-2324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2003003839 Missouri

Profile Details

NPI number 1801091061
LBN Legal business name Weaver-Brooks, Annette
Credentials CLINICAL SOCIAL WORK
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Feb 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801091061 NPPES
Missouri MEDICAID 495741225

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