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Individual

RENEE INGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, MA/MS

Contact information

Practice address
19983 NYS RT 3, WATERTOWN, NY 13601-5502
(315) 529-2892
Mailing address
405 OAK ST, FLOOR 2, SYRACUSE, NY 13203-2938

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
06 001175
NY

Other

Enumeration date
11/21/2013
Last updated
03/09/2015
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