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Individual

MS. CASEY LEIGH SISCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
506 BROOKWOOD DR, APT I-3, DUBLIN, GA 31021-4917
(478) 272-1210

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011030680
MO

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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