Provider Information for 1265701114
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RYAN MORRELL LMHC
Sex: Male
NPI: 1265701114
Last Updated: 2011-12-21
Certification Date:
Certification Date:
Details
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NPI | 1265701114 | ||||||||
Enumeration Date | 2011-12-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 17 E GENESEE ST AUBURN, NY 13021-4040 United States Phone: | Fax: | ||||||||
Primary Practice Address | 17 E GENESEE ST AUBURN, NY 13021-4040 United States Phone: 315-253-9795 | Fax: | ||||||||
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