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Individual

MRS. ALEICA N BERNARD MULLINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A., DIP.ED

Contact information

Practice address
17335 PAGONIA DR STE 109, CLERMONT, FL 34711-6011
(407) 395-2566
(000) 000-0000
Mailing address
17335 PAGONIA DR STE 109NA, CLERMONT, FL 34711-6011
(407) 395-2566
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Enumeration date
02/18/2020
Last updated
02/18/2020
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