Individual
ANDREA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 S CLINTON AVE, ST. JOHNS, MI 48879
(989) 640-7610
Mailing address
809 S CLINTON AVE, ST. JOHNS, MI 48879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801106038
MI
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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