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1396262119
KATHERINE INGRAM
SAN BERNARDINO, CA
NPI
1396262119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-23
Last Update Date
2019-06-24
Business Address
KATHERINE INGRAM
1905 BUSINESS CENTER DR UNIT 100
SAN BERNARDINO, CA 92408-3460
Phone number: 909-289-1041
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Mailing Address
KATHERINE INGRAM
526 N ORLANDO AVE APT 203
WEST HOLLYWOOD, CA 90048-2527
Phone number: 518-694-6679
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