MR. Ryaan J Mansouri, MSW, LCSW

NPI #1306310677 in West Lafayette, Indiana

Provider Information

NPI Number
1306310677
Entity Type
Individual
Name
MR. Ryaan J Mansouri, MSW, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, LCSW
Enumeration Date
Jan 18, 2019
Last Updated
Mar 1, 2022

Practice Location

Address
1330 WIN HENTSCHEL BLVD STE 222
State
Indiana
ZIP Code
47906-4160
Phone
(765) 237-9091

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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