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Individual
PATRICIA RYAN
Active
Individual
PATRICIA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDP00473
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
09/30/2011
Last updated
09/30/2011
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