Individual
JODIE SISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
162 E MAIN ST, NORWICH, NY 13815-1524
(607) 336-2143
Mailing address
162 E MAIN ST, NORWICH, NY 13815-1524
(607) 336-2143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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