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1083371611
PHYLLIS INGRAM
PONTE VEDRA BEACH, FL
NPI
1083371611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH004028)
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
PHYLLIS INGRAM LMHC
3107 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL 32082-5032
Phone number: 904-373-0942
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Mailing Address
PHYLLIS INGRAM LMHC
3107 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL 32082-5032
Phone number: 904-373-0942
Copy
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