Individual
MRS. CRYSTALL M SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 MELFORD BLVD, SUITE 400, BOWIE, MD 20715-4305
(202) 878-6626
Mailing address
13324 BURLEIGH ST, UPPER MARLBORO, MD 20774-1961
(202) 498-4460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200001469
DC
Other
Enumeration date
01/24/2022
Last updated
10/15/2025
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