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1427074384
ROBERT G INGRAM
BOISE, ID
NPI
1427074384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW25427)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
-- ROBERT G INGRAM LCSW
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-3069
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Mailing Address
-- ROBERT G INGRAM LCSW
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-3069
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