Individual
TIFFANY INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8175 VINCENT RD, DENHAM SPRINGS, LA 70726-6359
(225) 278-9973
Mailing address
11356 PALMETTO LAKE AVE, DENHAM SPRINGS, LA 70726-5993
(225) 278-9973
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14118
LA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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