Marylyn Ingraham is a Clinical in Marietta, Georgia. Marylyn Ingraham practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marylyn Ingraham is 1306900295. The last update date is 2007-07-08.
Marylyn Ingraham's current location address is 1665 Paddlewheel Dr, Marietta, Georgia. You can contact this provider via phone number 7704028623. The mailing address for Marylyn Ingraham is 1665 Paddlewheel Dr, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marylyn Ingraham |
|---|---|
| Address | 1665 Paddlewheel Dr, Marietta, Georgia |
| Phone Number | 7704028623 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306900295 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1665 Paddlewheel Dr |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300623855 |
| Phone Number | 7704028623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW000752 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Marylyn Ingraham's unique identification number?
The Marylyn Ingraham has been assigned the NPI (National Provider Identifier) Number 1306900295 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Marylyn Ingraham's physical address?
The Marylyn Ingraham is physically located at 1665 Paddlewheel Dr, in the city of Marietta, GA, with the postal code 300623855.
What is Marylyn Ingraham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marylyn Ingraham is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Marylyn Ingraham's 1306900295 issued?
The Marylyn Ingraham's 1306900295 was issued on 2006-12-22.
As of what date was the information regarding Marylyn Ingraham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marylyn Ingraham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.