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1588044960
RYAN TALLEY
LAWRENCE, KS
NPI
1588044960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KS T-LMLP 2535)
Enumeration Date
2015-06-01
Last Update Date
2015-06-01
Business Address
-- RYAN TALLEY M.A.
200 MAINE ST
LAWRENCE, KS 66044-1368
Phone number: 785-843-9192
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Mailing Address
-- RYAN TALLEY M.A.
1301 W 24TH ST APT E9
LAWRENCE, KS 66046-5725
Phone number: 785-979-3193
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