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Individual

DR. SAMUEL RYLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LAMFT

Contact information

Practice address
1 E CENTER ST STE 300, PROVO, UT 84606-3154
(801) 332-9660
Mailing address
1356 S 2770 E, SPANISH FORK, UT 84660-9403
(801) 228-0606

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8648985-3501
UT

Other

Enumeration date
05/18/2016
Last updated
12/09/2022
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