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1518636364
ATHALIAH INGRAM
TROY, MI
NPI
1518636364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6362009351)
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
ATHALIAH INGRAM
1777 AXTELL DR STE 100
TROY, MI 48084-4400
Phone number: 248-787-0855
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Mailing Address
ATHALIAH INGRAM
596 MARQUETTE DR
DETROIT, MI 48214-3640
Phone number: 313-461-9792
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