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INGRAM DIRTON

Counselor

NPI: 1275302036Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

LAC-08076T(AZ)

Contact & Hours

Address
2102 W BETHANY HOME RD
PHOENIX, AZ 85015

Quick Facts

NPI
1275302036
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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