Individual
LATASHA DESHEA DERRICK-FEYISETAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
18383 PRESTON RD STE 404, DALLAS, TX 75252-5476
(214) 280-1238
Mailing address
6060 VILLAGE BEND DR APT 2103, DALLAS, TX 75206-3757
(214) 280-1238
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
63305
TX
Other
Enumeration date
09/08/2025
Last updated
10/24/2025
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