TINA MARIE INGRAM

ROCKFORD, IL
NPI1437893500
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  150.106990)
Enumeration Date2022-04-25
Last Update Date2022-04-25
Business Address
Ms. TINA MARIE INGRAM LSW
631 N LONGWOOD ST STE 103
ROCKFORD, IL 61107-4263
Phone number: 815-962-5585
Mailing Address
Ms. TINA MARIE INGRAM LSW
631 N LONGWOOD ST STE 103
ROCKFORD, IL 61107-4263
Phone number: 815-962-5585