Individual
MR. JASON INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
3214 8TH ST SE APT 12, WASHINGTON, DC 20032-4113
(240) 426-1723
Mailing address
3214 8TH ST SE APT 12, WASHINGTON, DC 20032-4113
(240) 426-1723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50082631
DC
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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