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1730827833
RYAN ELLIOTT
BARABOO, WI
NPI
1730827833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 9604123)
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
RYAN ELLIOTT LCSW
1212 8TH ST STE 3
BARABOO, WI 53913-1875
Phone number: 608-448-2497
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Mailing Address
RYAN ELLIOTT LCSW
1217 DEBRA LN
MADISON, WI 53704-1416
Phone number:
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