Individual
IDELLA FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4400 BAYOU BLVD STE 20, PENSACOLA, FL 32503-1908
(850) 583-1342
Mailing address
305 HARRISON AVE, PENSACOLA, FL 32505-7827
(404) 579-9215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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