JESSICA LEE RYAN

FORT WAYNE, IN
NPI1144568668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence:   33006464a)
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2013-01-17
Last Update Date2015-12-09
Business Address
-- JESSICA LEE RYAN
10313 ABOITE CENTER RD
FORT WAYNE, IN 46804-5435
Phone number: 260-705-1067
Mailing Address
-- JESSICA LEE RYAN
1211 LOUISEDALE DR
FORT WAYNE, IN 46808-1577
Phone number: 260-705-1067
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