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1508194663
DORDANA ELIZABETH INGRAM
SPRINGFIELD, IL
NPI
1508194663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-005400)
Enumeration Date
2009-12-01
Last Update Date
2014-04-10
Business Address
-- DORDANA ELIZABETH INGRAM LCSW
901 W JEFFERSON ST
SPRINGFIELD, IL 62702-4833
Phone number: 217-545-8000
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Mailing Address
-- DORDANA ELIZABETH INGRAM LCSW
901 W JEFFERSON ST PO BOX 19642
SPRINGFIELD, IL 62702-4833
Phone number: 217-545-8000
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