Individual
JENAE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1827 POWERS FERRY RD SE STE 300, ATLANTA, GA 30339-5621
(404) 500-9859
Mailing address
1827 POWERS FERRY RD SE STE 300, ATLANTA, GA 30339-5621
(404) 500-9859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5210C
AL
1041C0700X
Clinical Social Worker
Primary
CSW006760
GA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/09/2020
Last updated
05/09/2023
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