Individual
MILDRED MORTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16539 LAKE BRIGADOON CIR, TAMPA, FL 33618-1146
(813) 579-2212
(813) 345-2896
Mailing address
16539 LAKE BRIGADOON CIR, TAMPA, FL 33618-1146
(813) 579-2212
(813) 345-2896
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
04/29/2013
Last updated
04/12/2016
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