STEPHANIE T INGRAM

BOAZ, KY
NPI1144421371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: KY  200403130)
Enumeration Date2007-05-28
Last Update Date2013-05-25
Business Address
Mrs. STEPHANIE T INGRAM D.I
611 HOUSE RD
BOAZ, KY 42027-8129
Phone number: 270-994-1804
Mailing Address
Mrs. STEPHANIE T INGRAM D.I
611 HOUSE RD
BOAZ, KY 42027-8129
Phone number: 270-994-1804
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