Individual
AMANDA BUCKNER INGRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
936 NORTHBROOK DR, RALEIGH, NC 27609-5518
(919) 205-2816
Mailing address
55 MIDDLE CREEK LN, WILLOW SPRING, NC 27592-7499
(919) 889-4631
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10040A
NC
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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