Individual
MISS INGRID NAHIL ATILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 DUNDEE RD, DUNDEE, FL 33838-3101
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10333
FL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/29/2011
Last updated
03/26/2020
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