Individual
MR. RYAN M HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
73 ASPEN AVE, BOTTINEAU, ND 58318
(701) 263-1088
(701) 263-3791
Mailing address
73 ASPEN AVE, BOTTINEAU, ND 58318
(701) 263-1088
(701) 263-3791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3310
ND
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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