Individual
DORIS TRINA' SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7028
(334) 255-7710
Mailing address
LYSTER ARMY HEALTH CLINIC, 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(334) 255-7028
(334) 255-7710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4125C
AL
Other
Enumeration date
09/10/2018
Last updated
01/19/2021
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