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1265045090
JORDAN INGRAM
BENTONVILLE, AR
NPI
1265045090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
(Licence: AR 10066M)
Enumeration Date
2020-08-31
Last Update Date
2023-04-10
Business Address
JORDAN INGRAM
2508 SE 20TH ST
BENTONVILLE, AR 72712-4008
Phone number: 479-273-9088
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Mailing Address
JORDAN INGRAM
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-725-5115
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