Individual
MRS. NICOLE MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 881-9923
Mailing address
6514 TROPIC CT APT 1411, INDIANAPOLIS, IN 46237-2995
(848) 228-1671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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