Individual
BENJAMIN INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSWA
Contact information
Practice address
55 MIDDLE CREEK LN, WILLOW SPRING, NC 27592-7499
(518) 727-9098
Mailing address
1441 E BROAD ST STE 242, FUQUAY VARINA, NC 27526-1968
(518) 727-9098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017418
NC
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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