ATHALIAH INGRAM

TROY, MI
NPI1518636364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6362009351)
Enumeration Date2021-09-07
Last Update Date2021-09-07
Business Address
ATHALIAH INGRAM
1777 AXTELL DR STE 100
TROY, MI 48084-4400
Phone number: 248-787-0855
Mailing Address
ATHALIAH INGRAM
596 MARQUETTE DR
DETROIT, MI 48214-3640
Phone number: 313-461-9792
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