Gregory Ingram, LICSW

NPI #1922297787 in Clinton, Maryland

Provider Information

NPI Number: 1922297787
Entity Type: Individual
Name: Gregory Ingram, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Oct 17, 2007
Last Updated: Mar 12, 2019

Practice Location

Address: 8506 SCHULTZ RD
City: Clinton
State: Maryland
ZIP Code: 20735-2662
Phone: (202) 297-9992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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