Individual
MR. RYAN THOMAS FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LMAC
Contact information
Practice address
2500 W 31ST ST STE G, LAWRENCE, KS 66047-3051
(913) 747-5087
Mailing address
2500 W 31ST ST STE G, LAWRENCE, KS 66047-3051
(913) 747-5087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12871
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201258150A
—
KS
Enumeration date
02/06/2020
Last updated
11/10/2023
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