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1508906918
ROBERT JEFFERSON INGRAM
KNOXVILLE, TN
NPI
1508906918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-07
Last Update Date
2010-11-16
Business Address
-- ROBERT JEFFERSON INGRAM BA
2018 WESTERN AVE
KNOXVILLE, TN 37921-5718
Phone number: 865-544-0406
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Mailing Address
-- ROBERT JEFFERSON INGRAM BA
6350 W A J HWY DEPARTMENT 100
TALBOTT, TN 37877
Phone number: 800-355-3565
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