Individual
RYAN ELLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7855 HOWELL BLVD, BATON ROUGE, LA 70807-5256
(225) 475-9978
(225) 357-0795
Mailing address
9250 FOSTER RD, BATON ROUGE, LA 70811-2715
(985) 713-3982
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15948
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
LA
Enumeration date
11/27/2018
Last updated
09/28/2022
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