Theresa J Ingram, LCSW

NPI #1003999277 in Roosevelt, Utah

Provider Information

NPI Number: 1003999277
Entity Type: Individual
Name: Theresa J Ingram, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 285 W 800 S
City: Roosevelt
State: Utah
ZIP Code: 84066-3707
Phone: (435) 725-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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