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1528684008
TYANNA LAYNE INGRAM
BROOKLYN PARK, MN
NPI
1528684008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-22
Last Update Date
2021-02-01
Business Address
TYANNA LAYNE INGRAM
6900 78TH AVE N
BROOKLYN PARK, MN 55445-2719
Phone number: 218-391-3215
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Mailing Address
TYANNA LAYNE INGRAM
101 W 2ND ST
DULUTH, MN 55802-2086
Phone number:
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