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Individual
STEVEN RAY INGRAM
Active
Individual
STEVEN RAY INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDCA184237
OH
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
APS.003420
OH
Other
Enumeration date
04/02/2021
Last updated
12/06/2023
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