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Provider Information for 1598871113


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Ms. MARY JOELLE INGE LCSW


Other Names:  
Former Name: 
Ms. MARY JOELLE INGE LCSW

Sex: Female

NPI: 1598871113
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1598871113
Enumeration Date2006-08-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2727 ELECTRIC RD
SUITE 100
ROANOKE, VA 24018-3547
United States

Phone: 540-772-5153 | Fax:540-772-5157
 
Primary Practice Address 2727 ELECTRIC RD
SUITE 100
ROANOKE, VA 24018-3547
United States

Phone: 540-772-5153 | Fax:540-772-5157
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalVA0904004851