Individual
MARGARET J SCISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 962-5311
(219) 757-1950
Mailing address
7125 BIRCH AVE, GARY, IN 46403-2040
(219) 939-0821
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33002398A
IN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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