Individual
MR. RYAN MICHAEL SAHAND LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LGSW
Contact information
Practice address
3520 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 398-2468
Mailing address
3520 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 398-2468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29554
MN
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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