Individual
KHALEAH ALEXANDRIA WEATHERSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 S 12TH AVE, LAUREL, MS 39440-4322
(601) 342-8215
(601) 342-8210
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4982
(601) 467-7505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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