Individual
MRS. ANN INGELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
1841 BRENTWOOD ROAD, BRENTWOOD MENTAL HEALTH CLINIC, BRENTWOOD, NY 11717
(631) 853-7300
Mailing address
1841 BRENTWOOD ROAD, BRENTWOOD MENTAL HEALTH CLINIC, BRENTWOOD, NY 11717
(631) 853-7300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R033105
NY
Other
Enumeration date
10/03/2006
Last updated
08/20/2016
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