Most Relevant Information
Provider Data
| NPI Number: | 1003448556 |
| Provider Name: | REBECCA RYAN LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 109062-01 |
Most Important Dates
| Enumeration Date: | 02/12/2020 |
| Last Updated: | 02/12/2020 |
Provider Practice Location
3043 STATE ROUTE 4
HUDSON FALLS
NY
128399632
Practice Location Phone/Fax
| Phone: | 5187478243 |
| Fax: |
Provider Mailing Location
230 MAPLE ST
GLENS FALLS
NY
128013731
Provider Mailing Phone/Fax
| Phone: | 5187932352 |
| Fax: |