Individual
INGRAM STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1538 LOUISIANA AVE, NEW ORLEANS, LA 70115-3553
(504) 896-2345
(504) 896-2400
Mailing address
1538 LOUISIANA AVE, NEW ORLEANS, LA 70115-3553
(504) 896-2345
(504) 896-2400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720846349
—
LA
Enumeration date
06/11/2019
Last updated
06/11/2019
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