Individual
DESTINY AUGUSTINA O'HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11262 SANDY RIDGE DR, SEAFORD, DE 19973-7081
(302) 841-9897
Mailing address
11262 SANDY RIDGE DR, SEAFORD, DE 19973-7081
(302) 841-9897
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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