Individual
SAMANTHA INGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 W GREEN ST, PERRY, FL 32347-3212
(850) 295-2443
Mailing address
416 W GREEN ST, PERRY, FL 32347-3212
(850) 295-2443
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
100073210
FL
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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