Individual
MS. CARLA LYNN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 NW ENGLEWOOD CT, SUITE 300, KANSAS CITY, MO 64118-4072
(816) 289-1962
Mailing address
3344 HARRISON ST, KANSAS CITY, MO 64109-1835
(816) 289-1962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5659
MO
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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