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Individual

AMY N SISSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
53 MAIN STREET, VINTON, OH 45686
(740) 388-8567
(740) 388-8567
Mailing address
POB 171, VINTON, OH 45686
(740) 388-8567
(740) 388-8567

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0700266
OH

Other

Enumeration date
11/18/2009
Last updated
11/18/2009
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