Individual
CHARLES E RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10200 W 44TH AVE, SUITE 130, WHEAT RIDGE, CO 80033-2837
(970) 539-2245
Mailing address
PO BOX 200001, EVANS, CO 80620
(970) 539-2245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
452
CO
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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