Jill Marie Ingersoll, LCSW

NPI #1912760901 in Canyon Lake, Texas

Provider Information

NPI Number
1912760901
Entity Type
Individual
Name
Jill Marie Ingersoll, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 1, 2024
Last Updated
Feb 1, 2024

Practice Location

Address
1010 BLUE WATER DR
State
Texas
ZIP Code
78133-5584
Phone
(180) 848-9543

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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