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1407974397
BRENDA KAYE INGRAM
CULVER CITY, CA
NPI
1407974397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS11609)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- BRENDA KAYE INGRAM L.C.S.W
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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Mailing Address
-- BRENDA KAYE INGRAM L.C.S.W
302 E 45TH ST
LONG BEACH, CA 90807-1416
Phone number:
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