Individual
SHERESE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 TWINING ST BLDG MAXWELL, MAXWELL AFB, AL 36112-6027
(334) 953-5200
(334) 953-8607
Mailing address
300 TWINING ST BLDG MAXWELL, MAXWELL AFB, AL 36112-6027
(334) 953-5200
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001493
DE
Other
Enumeration date
09/22/2016
Last updated
02/17/2025
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