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Individual
MR. RYAN CLARKE VANWINKLE
Active
Individual
MR. RYAN CLARKE VANWINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002017414
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495869224
—
MO
Enumeration date
03/19/2007
Last updated
02/20/2012
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