Crystal Ingram, MSW, LCSW-A

NPI #1194271692 in La Grange, North Carolina

Provider Information

NPI Number: 1194271692
Entity Type: Individual
Name: Crystal Ingram, MSW, LCSW-A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW-A
Enumeration Date: Aug 25, 2016
Last Updated: Aug 25, 2016

Practice Location

Address: 2555 PROMISE LAND RD
City: La Grange
State: North Carolina
ZIP Code: 28551-7004
Phone: (252) 481-1205

Specialties & Taxonomy Codes

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

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