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Individual

DORY D INGRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1620 MAGNOLIA ST, LIBERTY, TX 77575-3546
(512) 965-7235
Mailing address
19613 LAKEHURST LOOP, SPICEWOOD, TX 78669-6542
(512) 965-7235

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/31/2020
Last updated
07/31/2020
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