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1053073692
CHARLES DEWITT INGRAM
INDIANAPOLIS, IN
NPI
1053073692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-11
Last Update Date
2022-03-02
Business Address
CHARLES DEWITT INGRAM
5555 N TACOMA AVE STE 2
INDIANAPOLIS, IN 46220-3548
Phone number: 317-209-7970
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Mailing Address
CHARLES DEWITT INGRAM
5555 N TACOMA AVE STE 2
INDIANAPOLIS, IN 46220-3548
Phone number: 317-209-7970
Copy
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