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1356005367
RYAN M ETTNER
COEUR D ALENE, ID
NPI
1356005367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID 39709)
Enumeration Date
2021-10-26
Last Update Date
2024-12-02
Business Address
RYAN M ETTNER LCSW
1875 N LAKEWOOD DR
COEUR D ALENE, ID 83814-4928
Phone number: 208-771-7284
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Mailing Address
RYAN M ETTNER LCSW
1875 N LAKEWOOD DR
COEUR D ALENE, ID 83814-4928
Phone number: 208-771-7284
Copy
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