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1477969707
BRANDY LATASHA INGRAM
PENSACOLA, FL
NPI
1477969707
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Former Name
BRANDY LATASHA HICKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW12467)
Enumeration Date
2014-07-08
Last Update Date
2015-04-23
Business Address
Mrs. BRANDY LATASHA INGRAM LCSW
5868 CREEK STATION DR
PENSACOLA, FL 32504-8627
Phone number: 850-478-1244
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Mailing Address
Mrs. BRANDY LATASHA INGRAM LCSW
5868 CREEK STATION DR
PENSACOLA, FL 32504-8627
Phone number: 850-478-1244
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