MRS. Nanette Marilyn Ingram, CLC, MLC
NPI #1508627035 in Williamsburg, Virginia
Provider Information
- NPI Number
- 1508627035
- Entity Type
- Individual
- Name
- MRS. Nanette Marilyn Ingram, CLC, MLC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- CLC, MLC
- Enumeration Date
- Jan 22, 2024
- Last Updated
- Jan 22, 2024
Practice Location
- Address
- 5907 MONTPELIER DR
- City
- Williamsburg
- State
- Virginia
- ZIP Code
- 23188-8122
- Phone
- (951) 905-8209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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