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1053442616
ELLEN WHITNEY INGRAM
DEERFIELD, IL
NPI
1053442616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Ms. ELLEN WHITNEY INGRAM DT
1466 CROWE AVE
DEERFIELD, IL 60015-2120
Phone number: 847-948-8578
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Mailing Address
Ms. ELLEN WHITNEY INGRAM DT
PO BOX 1632
DEERFIELD, IL 60015-6010
Phone number: 847-948-8578
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