Individual
MR. RYAN C TORNGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2241 OVERLAND AVE STE 3, BURLEY, ID 83318-2929
(208) 677-5332
(208) 677-4002
Mailing address
2241 OVERLAND AVE STE 3, BURLEY, ID 83318-2929
(208) 677-5332
(208) 677-4002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-27457
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-29633
ID
Other
Enumeration date
07/18/2006
Last updated
06/19/2013
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