Individual
MARY PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6619 STARK RD, SEFFNER, FL 33584-2703
(813) 770-2599
Mailing address
6619 STARK RD, SEFFNER, FL 33584-2703
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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