Individual
JULIE A RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2835 AL LIPSCOMB WAY, DALLAS, TX 75215-1647
(972) 817-6019
Mailing address
2835 AL LIPSCOMB WAY, DALLAS, TX 75215-1647
(972) 817-6019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62595
TX
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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