Individual
MAURICE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, NCSP
Contact information
Practice address
350 S BROAD ST APT 305, TRENTON, NJ 08608-2525
(973) 953-9780
Mailing address
350 S BROAD ST APT 305, TRENTON, NJ 08608-2525
(973) 953-9780
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
884980
NJ
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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