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Individual

MR. RYAN EDWARD MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW LISW

Contact information

Practice address
100 E EUCLID, SUITE 151, DES MOINES, IA 50313
(515) 255-8399
Mailing address
100 E EUCLID, SUITE 151, DES MOINES, IA 50313
(515) 255-8399
(515) 255-8405

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06056
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0469676
IA
Enumeration date
02/22/2008
Last updated
02/22/2008
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