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Individual
RYAN LISMAN
Active
Individual
RYAN LISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, APCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6026
CA
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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