Individual
MS. AVERY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
JD, LCSW
Contact information
Practice address
7 W 30TH ST, 9TH FLOOR, NEW YORK, NY 10001-4406
(212) 725-7850
Mailing address
161 W 86TH ST APT 5A, NEW YORK, NY 10024-3411
(917) 719-6602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089425
NY
1041C0700X
Clinical Social Worker
099529
NY
Other
Enumeration date
12/15/2016
Last updated
05/13/2020
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