Individual
MRS. NINA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6263 POPLAR AVE, SUITE 932, MEMPHIS, TN 38119-4701
(901) 461-4535
Mailing address
6263 POPLAR AVE, SUITE 932, MEMPHIS, TN 38119-4701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3498
TN
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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