Individual
RYAN LONGENETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
687 MCCLOUD RD, SCOTT DEPOT, WV 25560-7426
(304) 312-7743
Mailing address
687 MCCLOUD RD, SCOTT DEPOT, WV 25560-7426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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