Individual
MRS. KALIN MARIE SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
Mailing address
2410 ELISHA AVE, ZION, IL 60099-2315
(847) 271-9789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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