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1366969016
RYAN BLACK
SEATTLE, WA
NPI
1366969016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA 61246774)
Enumeration Date
2017-08-24
Last Update Date
2022-08-30
Business Address
RYAN BLACK LICSW
4710 40TH AVE SW # N315
SEATTLE, WA 98116-4674
Phone number: 616-886-0960
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Mailing Address
RYAN BLACK LICSW
4710 40TH AVE SW # N315
SEATTLE, WA 98116-4674
Phone number: 616-886-0960
Copy
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