Individual
DESTINY N LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6427 FRENCHMENS DR, ALEXANDRIA, VA 22312-1647
(703) 454-6043
Mailing address
6427 FRENCHMENS DR, ALEXANDRIA, VA 22312-1647
(703) 454-6043
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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