Individual
JACKLYN M INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
1132 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73107-5639
(405) 557-1655
(405) 525-0677
Mailing address
1132 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73107-5639
(405) 557-1655
(405) 525-0677
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
01/22/2014
Last updated
02/28/2014
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