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Individual

MS. BONNIE RAE RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
45 JOHN ST RM 602, NEW YORK, NY 10038-3744
(917) 287-1020
(212) 577-2728
Mailing address
40 HARRISON ST APT 33L, NEW YORK, NY 10013-2726
(212) 267-4272
(212) 577-2728

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
051588-1
NY

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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