Most Relevant Information
Provider Data
  | NPI Number: | 1003315771 | 
| Provider Name: | JEANNE NORGREN RYAN LCSW | 
| Entity Type: | Individual | 
| Taxonomy Code: | 1041C0700X | 
| Specialty: | Social Worker | 
| License Number: | 2081 | 
Most Important Dates
  | Enumeration Date: | 02/07/2018 | 
| Last Updated: | 02/07/2018 | 
Provider Practice Location
  114 SLOAN ST
      
      ROSWELL
      GA
      300754922
  Practice Location Phone/Fax
      | Phone: | 7705943065 | 
| Fax: | 7705943099 | 
Provider Mailing Location
  335 INMAN PL
      
      ROSWELL
      GA
      300756853
  Provider Mailing Phone/Fax
      | Phone: | 7703673848 | 
| Fax: |