MRS. Jessica Kathleen Gent Ryder, L.C.S.W.
NPI #1154787992 in Bloomington, Illinois
Provider Information
- NPI Number
- 1154787992
- Entity Type
- Individual
- Name
- MRS. Jessica Kathleen Gent Ryder, L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W.
- Enumeration Date
- Jan 9, 2016
- Last Updated
- Mar 20, 2016
Practice Location
- Address
- 200 W MONROE ST
- Address 2
- SUITE #305
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3997
- Phone
- (309) 838-9310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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