Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | S.1701009 | OH |
NPI | 1003467887 |
---|---|
Provider Name | Allison Nicole Ryan |
First Address | Chillicothe, OH 45601-9718 |
Second Address | Chillicothe, OH 45601-9718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2019 |
Last Update Date | 24/09/2019 |