Individual
CASEY C RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
600 DAKOTA ST, CRYSTAL LAKE, IL 60012-3742
(815) 276-3947
Mailing address
12555 FARM HILL DR, HUNTLEY, IL 60142-2503
(815) 276-3947
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.114540
IL
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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