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1275024028
BROOKE BOUCHER INGRAM
CHARLOTTE, NC
NPI
1275024028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: 0-19-9987)
Enumeration Date
2018-05-27
Last Update Date
2019-10-01
Business Address
BROOKE BOUCHER INGRAM
1225 S CHURCH ST APT 336
CHARLOTTE, NC 28203-4186
Phone number: 704-891-6253
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Mailing Address
BROOKE BOUCHER INGRAM
7 MCKENNA COMMONS CT
GREENVILLE, SC 29615-2633
Phone number:
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