Individual
LAURA NINA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
777 N MAIN ST, PROVIDENCE, RI 02904-5703
(617) 828-6176
Mailing address
32 BILLOWS ST, WINTHROP, MA 02152-1468
(617) 828-6176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1017564
MA
1041C0700X
Clinical Social Worker
Primary
ISW00682
RI
Other
Enumeration date
03/20/2007
Last updated
10/27/2025
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