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Individual

MS. CYBIL KATHLEEN RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
1041C0700X
Clinical Social Worker
Primary
009717
CT

Other

Enumeration date
10/04/2017
Last updated
04/12/2019
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