Individual
DESTINY GENWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 ORCHARD AVE, WILMINGTON, DE 19805-2274
(484) 485-3598
Mailing address
3023 STODDARD PL, WILMINGTON, DE 19802-3226
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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