Individual
VIVIAN RYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 E FRY BLVD, #3822, SIERRA VISTA, AZ 85635
(520) 559-4976
Mailing address
PO BOX 3822, SIERRA VISTA, AZ 85636-3822
(520) 559-4976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-16880
AZ
Other
Enumeration date
10/20/2017
Last updated
03/20/2020
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