Individual
LUCILLE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 S MCCLINTOCK DR STE 105, TEMPE, AZ 85282-2692
(480) 804-0326
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-18489
AZ
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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