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Individual

KELLY INGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8527 MAYLAND DR, 101, RICHMOND, VA 23294-4753
(804) 346-5165
(804) 346-5167
Mailing address
8527 MAYLAND DR, 101, RICHMOND, VA 23294-4753
(804) 346-5165
(804) 346-5167

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009111
VA

Other

Enumeration date
08/12/2015
Last updated
08/12/2015
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