Individual
DONNA CISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1348
(317) 883-5225
Mailing address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1348
(317) 883-5225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005537A
IN
Other
Enumeration date
04/26/2012
Last updated
09/08/2023
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