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Individual
MR. DAVID BENJAMIN INGRAM
Active
Individual
MR. DAVID BENJAMIN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW00005343
WA
1041C0700X
Clinical Social Worker
LW00005343
WA
Other
Enumeration date
02/23/2007
Last updated
11/05/2009
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