Individual
ANGELA MARIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
4106 TWIN DR E, SANTA FE, TX 77510-3104
(409) 457-0778
Mailing address
4106 TWIN DR E, SANTA FE, TX 77510-3104
(409) 457-0778
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
84264
TX
Other
Enumeration date
05/05/2010
Last updated
07/20/2010
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