Individual
ANITA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
304 W BURKE ST, MARTINSBURG, WV 25401-3324
(304) 263-4741
Mailing address
304 W BURKE ST, MARTINSBURG, WV 25401-3324
(304) 263-4741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00938457
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000515
—
WV
Enumeration date
07/18/2005
Last updated
07/08/2007
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