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1609454768
RYAN DOUGLAS HEATH
CHAMPAIGN, IL
NPI
1609454768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.019549)
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
RYAN DOUGLAS HEATH MA, Ph.D.
2705 CHERRY HILLS DR
CHAMPAIGN, IL 61822-7538
Phone number: 978-704-1768
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Mailing Address
RYAN DOUGLAS HEATH MA, Ph.D.
7626 BROWN GULF RD
JAMESVILLE, NY 13078-9636
Phone number: 978-578-0014
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