Individual
DESTINY A HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 WASHBURN WAY STE K, KLAMATH FALLS, OR 97603-4531
(541) 885-1675
(541) 885-1817
Mailing address
2421 WASHBURN WAY STE K, KLAMATH FALLS, OR 97603-4531
(541) 885-1675
(541) 885-1817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IN-10197022
OR
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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