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1548918204
BENITA LYNNETTE INGRAM
LYNWOOD, IL
NPI
1548918204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.017595)
Enumeration Date
2022-03-12
Last Update Date
2022-03-12
Business Address
Mrs. BENITA LYNNETTE INGRAM LCSW
2249 EASTWOOD DR
LYNWOOD, IL 60411-1565
Phone number: 708-638-1587
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Mailing Address
Mrs. BENITA LYNNETTE INGRAM LCSW
2249 EASTWOOD DR
LYNWOOD, IL 60411-1565
Phone number: 708-638-1587
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