Individual
MS. PAM INGERSOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 GUNGY RD, OLD LYME, CT 06371-3209
(860) 961-3644
Mailing address
50 GUNGY RD, OLD LYME, CT 06371-3209
(860) 961-3644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
004922
CT
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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