Individual
DENISE M INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 OHIO ST., MERRILLVILLE, IN 46410
(219) 525-4572
Mailing address
6938 VAN BUREN PL, MERRILLVILLE, IN 46410-3434
(219) 973-6368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22202887
IN
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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