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1023164001
JOAN L. INGRAM
CHICAGO, IL
NPI
1023164001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071003502)
Enumeration Date
2007-01-25
Last Update Date
2018-07-06
Business Address
JOAN L. INGRAM Ph.D.
1640 W ROOSEVELT RD SUITE 103
CHICAGO, IL 60608
Phone number: 312-413-1822
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Mailing Address
JOAN L. INGRAM Ph.D.
409 CUSTER AVE
EVANSTON, IL 60202-5608
Phone number: 847-271-9246
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