THERESA J INGRAM

ROOSEVELT, UT
NPI1003999277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  311959-3501)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
-- THERESA J INGRAM LCSW
285 W 800 S
ROOSEVELT, UT 84066-3707
Phone number: 435-725-6300
Mailing Address
-- THERESA J INGRAM LCSW
185 N 400 W # 64-2
ROOSEVELT, UT 84066-2731
Phone number: 435-725-6300
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