Individual
MRS. KRISTIN ELISE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 FREEDOM WAY (248), AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-1734
Mailing address
1 FREEDOM WAY (248), AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-1734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004927
GA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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