COREY INGRAM

COLUMBIA, SC
NPI1679006118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AL  11995)
Enumeration Date2017-04-11
Last Update Date2017-04-11
Business Address
Mr. COREY INGRAM LMSW
1409 DEVINE ST
COLUMBIA, SC 29208-3902
Phone number: 803-359-9871
Mailing Address
Mr. COREY INGRAM LMSW
PO BOX 8745
COLUMBIA, SC 29202-8745
Phone number: 803-359-9871
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