Mrs. Takeisha Mitchell-Ingram
Mrs. Takeisha Mitchell-Ingram is a Developmental Disabilities Clinic/Center in Fort Pierce, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
130 S Indian River Dr Ste 202Fort Pierce, FL 34950-4353
Phone: (772) 905-9030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1801312830 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 22, 2017 |
| Last updated in NPPES | August 22, 2017 |
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