DEDRA F BETHANY-FULCHER

LOS ANGELES, CA
NPI1740513985
Former NameDEDRA F BETHANY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  8572)
Enumeration Date2009-09-04
Last Update Date2009-09-04
Business Address
-- DEDRA F BETHANY-FULCHER LCSW
439 W 97TH ST
LOS ANGELES, CA 90003-3968
Phone number: 323-754-2856
Mailing Address
-- DEDRA F BETHANY-FULCHER LCSW
439 W 97TH ST
LOS ANGELES, CA 90003-3968
Phone number: 323-754-2856