Individual
SALLY GIBSON RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Mailing address
1335 E 4TH ST, TONGANOXIE, KS 66086-9689
(712) 574-0956
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10852
KS
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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