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1063800456
WHITNEY INGRAM
SIOUX CITY, IA
NPI
1063800456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 14085)
Enumeration Date
2015-01-07
Last Update Date
2015-01-07
Business Address
-- WHITNEY INGRAM
4400 MORNINGSIDE AVE
SIOUX CITY, IA 51106-2950
Phone number: 712-255-0404
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Mailing Address
-- WHITNEY INGRAM
4400 MORNINGSIDE AVE
SIOUX CITY, IA 51106-2950
Phone number: 712-255-0404
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