Individual
MS. DESIREE CASSANDRA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
116 W 7TH AVE, SUITE 224, STILLWATER, OK 74074-4064
(405) 743-0344
Mailing address
116 W 7TH AVE, SUITE 224, STILLWATER, OK 74074-4064
(405) 743-0344
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
738
OK
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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