BRENDA LYNN DESTACHE

WOODBURY, MN
NPI1518132737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MN  LP2836)
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
BRENDA LYNN DESTACHE MSLP
1976 WOODALE DR
WOODBURY, MN 55125
Phone number: 651-730-8464
Mailing Address
BRENDA LYNN DESTACHE MSLP
391 JESSE JAMES LN
MAHTOMEDI, MN 55115-1794
Phone number: 651-730-8464
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