Lisa Ingrum
Lisa Ingrum is a Developmental Therapist in Charleston, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1530 Lincoln AveCharleston, IL 61920-3057
Phone: (217) 348-0127
Fax: (217) 348-0740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1457472375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 2, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1530 Lincoln Ave, Charleston, IL 61920-3057 |
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Mrs. Amy Marie Farmer, DT
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628 14th St, Charleston, IL 61920-2203 · (217) 348-1430
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