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Individual

RYAN ALLEN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
355 PUMPKIN HILL RD, LEDYARD, CT 06339-1932
(860) 460-7657
Mailing address
355 PUMPKIN HILL RD, LEDYARD, CT 06339-1932
(860) 460-7657

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007128
CT
101YP2500X
Professional Counselor

Other

Enumeration date
05/13/2014
Last updated
04/13/2024
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