Individual
KRISTIN ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2429 CLOCK FACE CT, LAWRENCEVILLE, GA 30043-1333
(770) 331-9988
Mailing address
2429 CLOCK FACE CT, LAWRENCEVILLE, GA 30043-1333
(770) 331-9988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC003658
GA
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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