Individual
C. LOUISE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
10455 WHITE GRANITE DR, SUITE 100, OAKTON, VA 22124-2764
(703) 219-2166
(703) 219-3856
Mailing address
10455 WHITE GRANITE DR, SUITE 100, OAKTON, VA 22124-2764
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004838
VA
1041C0700X
Clinical Social Worker
C003645
NC
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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