Individual
DESTINY LYNN AXTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 218TH ST SW STE 12, MOUNTLAKE TERRACE, WA 98043-2135
(206) 388-0544
Mailing address
1517 116TH AVE SE, LAKE STEVENS, WA 98258-7952
(425) 367-8444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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