Individual
JUDY ANN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SILVER LAKE ROAD, NEW BRIGHTON, MN 55112
(651) 628-9566
Mailing address
12732 KILLDEER ST NW, COON RAPIDS, MN 55448
(763) 754-5184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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