Individual
MS. BEVERLY WEATHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 448-9600
(313) 448-9629
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 448-9600
(313) 448-9629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801075524
MI
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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