Most Relevant Information
Provider Data
| NPI Number: | 1003407263 |
| Provider Name: | ANDREA RYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801106038 |
Most Important Dates
| Enumeration Date: | 01/31/2021 |
| Last Updated: | 01/31/2021 |
Provider Practice Location
809 S CLINTON AVE
ST. JOHNS
MI
48879
Practice Location Phone/Fax
| Phone: | 9896407610 |
| Fax: |
Provider Mailing Location
809 S CLINTON AVE
ST. JOHNS
MI
48879
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |