Individual
MRS. CHEL'SEA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1101 N CENTRAL AVE, PHOENIX, AZ 85004-1808
(602) 595-8145
Mailing address
1110 W MONTEREY ST, CHANDLER, AZ 85224-3562
(804) 305-0730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093194532
—
AZ
Enumeration date
05/28/2015
Last updated
08/20/2024
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