Individual
MISS DESTINY PATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6006 MAHOGANY TER, GRANITEVILLE, SC 29829-3168
(803) 624-7620
Mailing address
6006 MAHOGANY TER, GRANITEVILLE, SC 29829-3168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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