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Individual
THOMAS LANE INGRAM
Active
Individual
THOMAS LANE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.008826
IL
101YP2500X
Professional Counselor
67118
TX
101YP2500X
Professional Counselor
Primary
72859
TX
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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