GREGORY INGRAM

ROSELLE, NJ
NPI1427488824
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44sc05532900)
Additional Taxonomies1041S0200X Social Worker, School
(Licence: NJ  00273388)
Enumeration Date2013-11-21
Last Update Date2013-11-21
Business Address
-- GREGORY INGRAM LCSW
120 HALCYON PL
ROSELLE, NJ 07203-1512
Phone number: 908-422-5340
Mailing Address
-- GREGORY INGRAM LCSW
210 E 2ND AVE
ROSELLE, NJ 07203-1306
Phone number: