Individual
CARLON R RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11521 122ND AVE NW, GIG HARBOR, WA 98329-5848
(253) 225-8700
Mailing address
11521 122ND AVE NW, GIG HARBOR, WA 98329-5848
(253) 225-8700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
61079272
WA
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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