Individual
MARY AGNES RYAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD LLP
Contact information
Practice address
21751 ECORSE RD, TAYLOR, MI 48180-1846
(313) 291-7000
(313) 291-0942
Mailing address
21751 ECORSE RD, TAYLOR, MI 48180-1846
(313) 291-7000
(313) 291-0942
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301003136
MI
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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