TIMOTHY LEON INGRAM

JACKSONVILLE, FL
NPI1003966474
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  MH1575)
Enumeration Date2007-01-10
Last Update Date2009-06-19
Business Address
MR. TIMOTHY LEON INGRAM M.ED.
9951 ATLANTIC BLVD STE 170
JACKSONVILLE, FL 32225-6584
Phone number: 904-482-4105
Mailing Address
MR. TIMOTHY LEON INGRAM M.ED.
113 PINE ST
NEPTUNE BEACH, FL 32266-6050
Phone number: 904-249-5439
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