Individual
DESIREE WEATHERSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627
(571) 202-7420
Mailing address
8591 RICHMOND AVE, MANASSAS, VA 20110-5867
(202) 664-2083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014531
VA
Other
Enumeration date
11/16/2022
Last updated
06/01/2026
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