Individual
ALISA P. SEYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1917 PERRY ST, JACKSONVILLE, FL 32206-3521
(904) 347-9621
(904) 747-1045
Mailing address
3432 UPHILL TER, JACKSONVILLE, FL 32225-4313
(904) 347-9621
(904) 747-0145
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
—
—
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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