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1659093912
ELLY JO RYAN
CHARLOTTE, NC
NPI
1659093912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 27699)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
ELLY JO RYAN LCASA
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number: 704-332-9001
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Mailing Address
ELLY JO RYAN LCASA
515 CLANTON RD
CHARLOTTE, NC 28217-1309
Phone number:
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