Individual
RYAN GREALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FISHFRY ST, HARTFORD, CT 06120-1203
(203) 635-4644
Mailing address
125 FRANKLIN ST, FEEDING HILLS, MA 01030-2309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MA79996167
MA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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