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Individual

CAROLYN R INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 W 6TH ST, DUBUQUE, IA 52001-6809
(563) 588-0605
Mailing address
2005 ASBURY RD, DUBUQUE, IA 52001-3042
(563) 583-7357

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
05/11/2009
Last updated
05/11/2009
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