Mary Jo Ryan

NPI #1265658181 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1265658181
Entity Type: Individual
Name: Mary Jo Ryan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Apr 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 459 E 1ST ST
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-4505
Phone: (920) 906-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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