Individual
MRS. ASHLEY EVONNE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 WHEAT MILL RD, DURHAM, NC 27704-1242
(919) 491-8611
(919) 937-2046
Mailing address
724 ROYAL ANNE LN APT 204, RALEIGH, NC 27615-7813
(919) 906-2997
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/27/2021
Last updated
09/11/2022
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