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1275924565
JAY R INGRAM
LOUISVILLE, KY
NPI
1275924565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY LPCCCA00216553)
Enumeration Date
2015-02-09
Last Update Date
2015-02-09
Business Address
-- JAY R INGRAM
1213 ELLISON AVE
LOUISVILLE, KY 40204-1951
Phone number: 270-999-0643
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Mailing Address
-- JAY R INGRAM
1213 ELLISON AVE
LOUISVILLE, KY 40204-1951
Phone number:
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