Individual
MRS. TONYA LYNN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 W 6TH AVE, STILLWATER, OK 74074-4307
(405) 742-4971
(405) 742-4917
Mailing address
1201 W 6TH AVE, STILLWATER, OK 74074-4307
(405) 742-4971
(405) 742-4917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5296
OK
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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