Individual
NANCY JANE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
924 INDIANA AVE, PUEBLO, CO 81004-3747
(719) 564-9039
(719) 561-8752
Mailing address
924 INDIANA AVE, PUEBLO, CO 81004-3747
(719) 564-9039
(719) 561-8752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
989781
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035190
—
CO
Enumeration date
07/20/2006
Last updated
07/08/2007
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