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Individual

KRISTIN KAY INGRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1702 171ST AVE NE, HAM LAKE, MN 55304-4917
(952) 454-3655
Mailing address
1702 171ST AVE NE, HAM LAKE, MN 55304-4917
(952) 454-3655

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306705
MN

Other

Enumeration date
11/16/2023
Last updated
11/16/2023
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