Individual
MS. MARIE ELAINE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1101 DONALD AVE, INDEPENDENCE, KS 67301-2001
(620) 331-3481
(620) 332-5130
Mailing address
1101 DONALD AVE, INDEPENDENCE, KS 67301-2001
(620) 331-3481
(620) 332-5130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3553
KS
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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