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1104102391
NICHELLE RENEE INGRAM
FREMONT, CA
NPI
1104102391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
-- NICHELLE RENEE INGRAM
40950 CHAPEL WAY
FREMONT, CA 94538-4236
Phone number: 510-317-1444
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Mailing Address
-- NICHELLE RENEE INGRAM
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number:
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