Individual
BOBBI J SICCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
322 N MAIN ST, KOKOMO, IN 46901
(765) 453-8555
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000818A
IN
Other
Enumeration date
07/02/2013
Last updated
01/28/2020
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