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1225535594
AMIEE INGRAM
MARION, IN
NPI
1225535594
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Former Name
AMIEE HUSTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IN MATS272)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
AMIEE INGRAM BS, MATS
317 S NORTON ST
MARION, IN 46952-3296
Phone number: 765-664-0101
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Mailing Address
AMIEE INGRAM BS, MATS
317 S NORTON ST
MARION, IN 46952-3296
Phone number: 765-664-0101
Copy
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