Individual
THOM RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 E RICHARDS RD, OREGON, WI 53575-1014
(609) 695-0045
Mailing address
172 E RICHARDS RD, OREGON, WI 53575-1014
(609) 695-0045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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