Individual
SUMMER MARIA MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SOUTHSIDE DR, NASHVILLE, GA 31639-6306
(850) 345-8336
Mailing address
PO BOX 10827, TALLAHASSEE, FL 32302-2827
(850) 521-0242
(850) 521-1973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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