Individual
MRS. STEFANY L INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1913 GRANT AVE, PANAMA CITY, FL 32405-1525
(850) 814-1473
Mailing address
1913 GRANT AVE, PANAMA CITY, FL 32405-1525
(850) 814-1473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009876600
—
FL
Enumeration date
10/18/2006
Last updated
02/12/2026
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