MR. Owen D Ryan, LICSW
NPI #1619022522 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1619022522
- Entity Type
- Individual
- Name
- MR. Owen D Ryan, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LICSW
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 52 CHARLTON ST
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550-1910
- Phone
- (508) 765-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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