Individual
ELLEN A RYLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
339 REED AVE, MANITOWOC, WI 54220-2020
(920) 320-8600
(920) 320-8662
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
WI
01
—
29449
NETWORK HEALTH PLAN
—
01
—
S54451
CIGNA
—
Enumeration date
07/16/2006
Last updated
11/01/2011
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