Individual
MR. ALEXANDER SEBASTIAN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
417 E GERMAN ST, HERKIMER, NY 13350-1028
(315) 868-1000
Mailing address
417 E GERMAN ST, HERKIMER, NY 13350-1028
(315) 868-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112128
NY
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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