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1275080293
MALLORY INGRAM
CHICAGO, IL
NPI
1275080293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.011231)
Enumeration Date
2016-09-07
Last Update Date
2020-10-29
Business Address
Ms. MALLORY INGRAM MA, LPC, R-DMT
1100 S MAY ST
CHICAGO, IL 60607-4229
Phone number: 312-602-1466
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Mailing Address
Ms. MALLORY INGRAM MA, LPC, R-DMT
2000 N RACINE AVE STE 2160
CHICAGO, IL 60614-4045
Phone number: 312-946-2393
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