Destiny Breann Thompson

NPI #1629662432 in Elyria, Ohio

Provider Information

NPI Number: 1629662432
Entity Type: Individual
Name: Destiny Breann Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Feb 22, 2021
Last Updated: Mar 17, 2021

Practice Location

Address: 347 MIDWAY BLVD STE 210
City: Elyria
State: Ohio
ZIP Code: 44035-2496
Phone: (440) 324-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Case Manager/Care Coordinator	171M00000X	Primary

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