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1437893500
TINA MARIE INGRAM
ROCKFORD, IL
NPI
1437893500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.106990)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
Ms. TINA MARIE INGRAM LSW
631 N LONGWOOD ST STE 103
ROCKFORD, IL 61107-4263
Phone number: 815-962-5585
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Mailing Address
Ms. TINA MARIE INGRAM LSW
631 N LONGWOOD ST STE 103
ROCKFORD, IL 61107-4263
Phone number: 815-962-5585
Copy
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