Individual
JERILYN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
6612 JOCKEY CLUB DRIVE, WHITSETT, NC 27377
(336) 230-5213
Mailing address
952 GOLF HOUSE RD W., STE I PMB 102, WHITSETT, NC 27377
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8402
NC
Other
Enumeration date
05/29/2011
Last updated
03/09/2021
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