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Individual
MRS. CHASTITY ANN INGRAM
Active
Individual
MRS. CHASTITY ANN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCSW, LMHP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1342
NE
1041C0700X
Clinical Social Worker
3628
NE
1041C0700X
Clinical Social Worker
Primary
803
NE
1041C0700X
Clinical Social Worker
LSCSW 2494
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070591
BCBS
KS
Enumeration date
12/26/2006
Last updated
02/06/2011
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