MRS. Takeisha Mitchell-Ingram
NPI #1801312830 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1801312830
- Entity Type
- Individual
- Name
- MRS. Takeisha Mitchell-Ingram
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Aug 22, 2017
- Last Updated
- Aug 22, 2017
Practice Location
- Address
- 130 S INDIAN RIVER DR STE 202
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34950-4353
- Phone
- (772) 905-9030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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