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Individual

DR. JOHN A RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
22811 GREATER MACK AVE, SUITE L-3, SAINT CLAIR SHORES, MI 48080-2021
(586) 777-3988
(586) 777-9879
Mailing address
1122 KENSINGTON AVE, GROSSE POINTE PARK, MI 48230-1405
(313) 884-5544

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301002572
MI

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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