Individual
ROSETTA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2209 9TH STREET, TUSCALOOSA, AL 35401
(205) 391-4000
(205) 764-5995
Mailing address
5706 CLEARBROOK DRIVE, NORTHPORT, AL 35473
(205) 799-8212
(205) 764-5995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4658G
AL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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