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1811500390
TYLER INGHRAM
DIXON, IL
NPI
1811500390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-25
Last Update Date
2020-08-25
Business Address
TYLER INGHRAM
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
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Mailing Address
TYLER INGHRAM
69 PLUMMER AVE
CHADWICK, IL 61014-9366
Phone number:
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