TAKEISHA MITCHELL-INGRAM

FORT PIERCE, FL
NPI1801312830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date2017-08-22
Last Update Date2017-08-22
Business Address
Mrs. TAKEISHA MITCHELL-INGRAM
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950-4353
Phone number: 772-905-9030
Mailing Address
Mrs. TAKEISHA MITCHELL-INGRAM
1778 SW NEWPORT ISLES BLVD
PORT ST LUCIE, FL 34953-4590
Phone number: 561-818-1101
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