Individual
KAHLIL MARIE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCMSW, PLMHP
Contact information
Practice address
4319 N 147TH ST, OMAHA, NE 68116-1436
(402) 237-1935
Mailing address
4319 N 147TH ST, OMAHA, NE 68116-1436
(402) 237-1935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3118
NE
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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