Autumn Cloud-Ingram

NPI #1396405585 in Bethany, Connecticut

Provider Information

NPI Number: 1396405585
Entity Type: Individual
Name: Autumn Cloud-Ingram
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 29, 2021
Last Updated: Dec 29, 2021

Practice Location

Address: 932 LITCHFIELD TPKE
City: Bethany
State: Connecticut
ZIP Code: 06524-3019
Phone: (203) 390-0070

Specialties & Taxonomy Codes

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

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