Individual
ALEAH RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
151 KALMUS DR STE K3, COSTA MESA, CA 92626-5975
(714) 612-1493
Mailing address
151 KALMUS DR STE K3, COSTA MESA, CA 92626-5975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30813
CA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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