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Individual

MIMI RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1426 AMELIA ST, NEW ORLEANS, LA 70115-3622
(504) 527-8783
Mailing address
2002 GENERAL PERSHING ST, NEW ORLEANS, LA 70115-5436
(504) 527-8783

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4567
LA

Other

Enumeration date
01/02/2024
Last updated
01/02/2024
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