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1134633068
KESHIA R INGRAM
SAN LEANDRO, CA
NPI
1134633068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT101262)
Enumeration Date
2017-11-30
Last Update Date
2021-02-17
Business Address
KESHIA R INGRAM
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577-4962
Phone number: 510-352-9200
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Mailing Address
KESHIA R INGRAM
27 CHASE ST APT A
VALLEJO, CA 94590-7007
Phone number: 707-515-8633
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