Individual
DANIELLE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 LAUREL VALLEY DR, ORANGE PARK, FL 32065-2710
(904) 200-5018
Mailing address
916 LAUREL VALLEY DR, ORANGE PARK, FL 32065-2710
(904) 200-5018
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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