Individual
JENNIFER INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS, C-SSWS
Contact information
Practice address
115 FOX RUN DR, NATCHITOCHES, LA 71457-7881
(318) 663-5644
Mailing address
115 FOX RUN DR, NATCHITOCHES, LA 71457-7881
(318) 663-5644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8135
LA
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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