Individual
BRIDGET DEIDRE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 S MAIN ST, MANSFIELD, MA 02048-2529
(978) 846-3518
Mailing address
116 S MAIN ST, MANSFIELD, MA 02048-2529
(978) 846-3518
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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