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Individual
RYAN MOORE
Active
Individual
RYAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0709026539
VA
1041C0700X
Clinical Social Worker
Primary
0906017010
VA
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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