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1386131241
SHEILA A INGRAHAM
LOGAN, OH
NPI
1386131241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 021197)
Enumeration Date
2018-04-17
Last Update Date
2018-06-16
Business Address
SHEILA A INGRAHAM LCDCIII
141 S SPRING ST
LOGAN, OH 43138-1859
Phone number: 740-385-9895
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Mailing Address
SHEILA A INGRAHAM LCDCIII
224 COLUMBUS RD
ATHENS, OH 45701-1334
Phone number: 740-592-6724
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