Ryan Wolter

NPI #1295131050 in Benton Harbor, Michigan

Provider Information

NPI Number: 1295131050
Entity Type: Individual
Name: Ryan Wolter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 6, 2014
Last Updated: Nov 6, 2014

Practice Location

Address: 1485 M 139
City: Benton Harbor
State: Michigan
ZIP Code: 49022-5711
Phone: (269) 925-0585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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