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Individual

MR. RYAN JOSEPH LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
3000 CONNECTICUT AVE NW, SUITE 436, WASHINGTON, DC 20008-2509
(202) 875-1495
Mailing address
3000 CONNECTICUT AVE NW, SUITE 436, WASHINGTON, DC 20008-2509
(202) 875-1495

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50080820
DC

Other

Enumeration date
04/01/2016
Last updated
03/08/2017
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