Individual
DESTINY RENE BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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