Individual
BRIANNA CHANTELLE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3316
Mailing address
2401 LAKEVIEW RD APT Z8, NORTH LITTLE ROCK, AR 72116-9368
(501) 838-5616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
AR
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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