Individual
MRS. SHARETTA LANOR INGRAM-PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11365 111TH AVENUE, LARGO, FL 33778
(484) 843-6610
Mailing address
11365 111TH AVE, LARGO, FL 33778-3706
(484) 843-6610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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