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Individual

ALI RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
Mailing address
PO BOX 252, WANAMINGO, MN 55983-0252

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27596
MN

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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