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NPI Code Detail

MEDICARE: KAREN ZAYTOUN RYAN LCSW

MEDICARE: KAREN ZAYTOUN RYAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC017894NC

General Provider Information

NPI Number : 1154134229
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ZAYTOUN RYAN LCSW
Provider Business Mailing Address
First Line : 405 ISLAND END CT
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-4506
Country : US
Telephone Number : 252-670-0603
Fax Number :
Provider Business Practice Location Address
First Line : 2131 S 17TH ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7407
Country : US
Telephone Number : 252-670-0603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2025
Last Update Date : 04/06/2026

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