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Individual
ELYSE SISKIND
Active
Individual
ELYSE SISKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LICSW123711
MA
Other
Enumeration date
10/09/2017
Last updated
01/30/2026
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