Individual
BISIRAT SIUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5135 PEARSON RD, DAYTON, OH 45433-5346
(808) 428-0886
Mailing address
742 APOLLO AVE, HONOLULU, HI 96818-5941
(808) 428-0886
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-3202
HI
104100000X
Social Worker
S.1802087
OH
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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