Individual
CONSTANCE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 BANTAM ROAD, BANTAM, CT 06750
(860) 459-6933
(410) 861-6262
Mailing address
40 TAPPING REEVE VLG, LITCHFIELD, CT 06759-3323
(860) 459-6933
(410) 861-6262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005438
CT
Other
Enumeration date
02/15/2007
Last updated
03/15/2011
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