TYLER INGHRAM

DIXON, IL
NPI1811500390
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-08-25
Last Update Date2020-08-25
Business Address
TYLER INGHRAM
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
TYLER INGHRAM
69 PLUMMER AVE
CHADWICK, IL 61014-9366
Phone number: