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Individual

BROOKE SISCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
425 BROADWAY ST STE 100, PADUCAH, KY 42001-0713
(270) 442-9767
Mailing address
2035 KNOB HILL DR, PADUCAH, KY 42003-9037

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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