Individual
MARY KATHERINE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 CAMBRIDGE PL, PRINCE FREDERICK, MD 20678-3159
(443) 684-9105
Mailing address
395 CAMBRIDGE PL, PRINCE FREDERICK, MD 20678-3159
(443) 684-9105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12041
MD
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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