Individual
RYAN LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N US HIGHWAY 89, HOMELESS PROGRAMS; BUILDING 151, PRESCOTT, AZ 86313-5001
(928) 445-4860
(928) 717-7571
Mailing address
500 N US HIGHWAY 89, HOMELESS PROGRAMS; BUILDING 151, PRESCOTT, AZ 86313-5001
(928) 445-4860
(928) 717-7571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-15706
AZ
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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