Gregory Ingram LCSW
Clinical Social Worker in Roselle, NJ(View on Map)
Full Name
Gregory Ingram LCSW
NPI Number
1427488824
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/21/2013
Specialties
(Taxonomies)Licenses
State
New Jersey
New Jersey
License Number
44SC05532900
00273388
Contact
Information
Purpose
Mailing
Location
Address
210 E 2ND AVE
120 HALCYON PL
City
Roselle
Roselle
State
NJ
NJ
Postal Code
07203-1306
07203-1512
Country
US
US
Telephone Number
N/A
(908) 422-5340
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/21/2013