Individual
DORIS LOUISE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.C.S.W., L.I.C.S.W.
Contact information
Practice address
348 LUNENBURG ST, SUITE 102, FITCHBURG, MA 01420-4566
(978) 342-8940
(978) 342-8940
Mailing address
1068 CENTRAL ST, PO BOX 1245, LEOMINSTER, MA 01453-4804
(978) 870-6104
(978) 342-8940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1018368
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RYP05736
BLUECROSS BLUE SHIELD
MA
Enumeration date
08/19/2006
Last updated
07/08/2007
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