Katrina Mavis Ingram

NPI #1811680861 in Owasso, Oklahoma

Provider Information

NPI Number
1811680861
Entity Type
Individual
Name
Katrina Mavis Ingram
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Management
Enumeration Date
May 26, 2023
Last Updated
May 26, 2023

Practice Location

Address
17612 E 78TH ST N UNIT B
City
Owasso
ZIP Code
74055-5815
Phone
(918) 730-2461

Specialties & Taxonomy Codes

Specialty
Case Management

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