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Individual
RYAN NICKOLAS EDWARDS
Active
Individual
RYAN NICKOLAS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NONE
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.014360
IL
101YM0800X
Mental Health Counselor
—
IL
Other
Enumeration date
05/15/2017
Last updated
01/02/2019
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