| NPI | 1063942472 |
|---|---|
| Doing Business As | DEDRICK D WEATHERSBY LMFT |
| Entity Type | Organization |
| Authorized Contact | DEDRICK D WEATHERSBY Consultant 424-285-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |