Individual
DESTINY YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 208-3742
Mailing address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 208-3742
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10296
AZ
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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