JOHN A RYAN PHD PC
Social Work in Saint Clair Shores, MI

License number
Michigan 6301002572
Category
Social Work
Type
Clinical
Owner
Name: JOHN A RYAN PHD
Title: OWNER
Phone: (586) 777-3988
Address
Address
22811 Mack Ave SUITE L3, Saint Clair Shores, MI 48080
National Provider ID: 1144456633
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN A. RYAN, PH.D., PC

Saint Clair Shores, MI

Status:
Inactive
Registration:
Sep 1, 1993
Addresses:
22811 Mack Ave, Saint Clair Shores, MI 48080 (Physical)
Michigan (Mailing)
State ID:
019426
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2012
Agent:
John Ryan

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