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1033358700
JEFFREY SCOTT RYAN
APPLETON, WI
NPI
1033358700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15254)
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
Mr. JEFFREY SCOTT RYAN CSAC
3301B N BALLARD RD
APPLETON, WI 54911-8988
Phone number: 920-733-4443
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Mailing Address
Mr. JEFFREY SCOTT RYAN CSAC
3301B N BALLARD RD
APPLETON, WI 54911-8988
Phone number: 920-733-4443
Copy
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