LISA INGRUM

CHARLESTON, IL
NPI1457472375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2007-04-02
Last Update Date2007-07-08
Business Address
-- LISA INGRUM
1530 LINCOLN AVE
CHARLESTON, IL 61920-3057
Phone number: 217-348-0127
Mailing Address
-- LISA INGRUM
1530 LINCOLN AVE
CHARLESTON, IL 61920-3057
Phone number: 217-348-0127
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