IMANI INGRAM

SOUTH BEND, IN
NPI1912381575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-07-14
Last Update Date2015-07-14
Business Address
-- IMANI INGRAM MPA, ACIT
4218 W WESTERN AVE
SOUTH BEND, IN 46619-2622
Phone number: 574-233-1524
Mailing Address
-- IMANI INGRAM MPA, ACIT
4218 W WESTERN AVE
SOUTH BEND, IN 46619-2622
Phone number: 574-233-1524
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