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1407480064
SHELLY INGRAM LCMFT LLC
WICHITA, KS
NPI
1407480064
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Entity Type
Organization
Authorized Contact
SHELLY INGRAM
Lcmft
316-461-7923
Organization Subpart ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2020-02-23
Last Update Date
2020-03-07
Business Address
SHELLY INGRAM LCMFT LLC
6525 E MAINSGATE RD
WICHITA, KS 67226-1062
Phone number: 316-461-7923
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Mailing Address
SHELLY INGRAM LCMFT LLC
6525 E MAINSGATE RD
WICHITA, KS 67226-1062
Phone number: 866-924-4634
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