Individual
MS. KEELYN MARIE INGMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, NCSP
Contact information
Practice address
1419 BELTRAMI AVE NW, BEMIDJI, MN 56601-2806
(218) 368-6802
Mailing address
1419 BELTRAMI AVE NW, BEMIDJI, MN 56601-2806
(218) 368-6802
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1019515
MN
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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