Jordan Ingram

NPI #1265045090 in Bentonville, Arkansas

Provider Information

NPI Number: 1265045090
Entity Type: Individual
Name: Jordan Ingram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 31, 2020
Last Updated: Apr 10, 2023

Practice Location

Address: 2508 SE 20TH ST
City: Bentonville
State: Arkansas
ZIP Code: 72712-4008
Phone: (479) 273-9088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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