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Individual
MR. RYAN WOMACK
Active
Individual
MR. RYAN WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162437
OH
101YM0800X
Mental Health Counselor
Primary
149.028701
IL
1041C0700X
Clinical Social Worker
Primary
149.028701
IL
1041C0700X
Clinical Social Worker
I.2304483
OH
Other
Enumeration date
05/29/2019
Last updated
04/21/2026
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