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Individual

KATHRYN M RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-CC

Contact information

Practice address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 216-2637
(207) 510-8054
Mailing address
149 BRACKETT ST APT 5, PORTLAND, ME 04102-3809
(401) 301-1176

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC22113
ME

Other

Enumeration date
07/25/2023
Last updated
07/25/2023
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