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1508481201
JEANINE INGRAM
LOS ANGELES, CA
NPI
1508481201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
JEANINE INGRAM
3815 LOCKLAND DR
LOS ANGELES, CA 90008-3533
Phone number: 213-595-1723
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Mailing Address
JEANINE INGRAM
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-529-0963
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