Individual
DESTINY RENEE PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 CORINTHIAN DR APT 824, FLORENCE, KY 41042-7400
(901) 520-2984
Mailing address
1601 CORINTHIAN DR APT 824, FLORENCE, KY 41042-7400
(901) 520-2984
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
201226682
KY
Other
Enumeration date
05/13/2025
Last updated
05/14/2025
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