Individual
MS. SALLIE J INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
441 HWY 42W, WARSAW, KY 41095
(859) 567-1591
(859) 567-1253
Mailing address
PO BOX 845, WARSAW, KY 41095-0845
(859) 567-1591
(859) 567-1253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3206
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01975
FIRST STEPS PROVIDER NO.
KY
Enumeration date
04/25/2007
Last updated
06/07/2018
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