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1649935586
RYAN MATTHEW WOODZELL
KINGSPORT, TN
NPI
1649935586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 5120)
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
RYAN MATTHEW WOODZELL MA NCC LPC-MHSP
2082 FORT HENRY DR
KINGSPORT, TN 37664-3602
Phone number: 540-679-9354
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Mailing Address
RYAN MATTHEW WOODZELL MA NCC LPC-MHSP
2082 FORT HENRY DR
KINGSPORT, TN 37664-3602
Phone number:
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