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Individual

RYAN SHANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
95 COLLEGE ST, BURLINGTON, VT 05401-8426
(802) 222-0115
Mailing address
95 COLLEGE ST, BURLINGTON, VT 05401-8426

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097.0135739
VT

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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