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Brenda Destache, MSLP
NPI 1518132737 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1976 Woodale Dr
Woodbury, MN 55125 - Phone
- (651) 730-8464
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota