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Destinee Phasoukvong
NPI 1700522646 · on the registry since 2022
Practice
- Address
- 5360 Cascade Rd Se Ste 1
Grand Rapids, MI 49546 - Phone
- (120) 161-6278
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Female
- Record last updated
- 2022-05-11
- Status
- Not present in the most recent federal file
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 Michigan