Individual
EMILY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 GROVEVILLE RD, BUXTON, ME 04093-3256
(207) 727-9100
Mailing address
24 GROVEVILLE RD, BUXTON, ME 04093-3256
(207) 727-9100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6589
ME
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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