Individual
RYAN SHIRILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
447 DEERPATH LN, PEMBROKE, NH 03275-3214
(773) 885-2303
Mailing address
447 DEERPATH LN, PEMBROKE, NH 03275-3214
(773) 885-2303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1586
NH
Other
Enumeration date
01/30/2012
Last updated
12/02/2016
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