Individual
MS. DESTINY INEZ LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 WHEAT MILL RD, DURHAM, NC 27704-1242
(252) 452-7346
(919) 937-2046
Mailing address
202 DINK ASHLEY RD, TIMBERLAKE, NC 27583-9238
(919) 636-8204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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