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Individual
MR. RYAN BODINE
Active
Individual
MR. RYAN BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091020
NY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/23/2016
Last updated
04/13/2021
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