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1881881977
PAMELA KAY INGRAM
SIOUX CITY, IA
NPI
1881881977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA CD07001)
Enumeration Date
2007-10-02
Last Update Date
2007-10-02
Business Address
Ms. PAMELA KAY INGRAM CCDP
915 PIERCE ST
SIOUX CITY, IA 51101-1031
Phone number: 712-277-0809
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Mailing Address
Ms. PAMELA KAY INGRAM CCDP
915 PIERCE ST
SIOUX CITY, IA 51101-1031
Phone number: 712-277-0809
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