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1689977746
HEATHER INGRAM
ANTIOCH, CA
NPI
1689977746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-12-13
Last Update Date
2010-12-13
Business Address
Mrs. HEATHER INGRAM
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124
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Mailing Address
Mrs. HEATHER INGRAM
3707 SUNSET LN
ANTIOCH, CA 94509-6101
Phone number: 925-522-0124
Copy
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