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Individual
JOSEPH RYDELL
Active
Individual
JOSEPH RYDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071653
NY
1041S0200X
School Social Worker
059255-1
NY
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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