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1912760901
JILL MARIE INGERSOLL
CANYON LAKE, TX
NPI
1912760901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 67137)
Enumeration Date
2024-02-01
Last Update Date
2024-02-01
Business Address
JILL MARIE INGERSOLL LCSW
1010 BLUE WATER DR
CANYON LAKE, TX 78133-5584
Phone number: 180-848-9543
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Mailing Address
JILL MARIE INGERSOLL LCSW
1010 BLUE WATER DR
CANYON LAKE, TX 78133-5584
Phone number: 808-489-5438
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