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1063100634
ALEXIS INGRAM
TAMPA, FL
NPI
1063100634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA RBT-19-90459)
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
ALEXIS INGRAM
5706 N HESPERIDES ST
TAMPA, FL 33614-5418
Phone number: 813-924-4609
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Mailing Address
ALEXIS INGRAM
513 FINKS HIDEAWAY RD SIDE A
MONROE, LA 71203-2413
Phone number: 318-307-1699
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