Individual
STEPHANIE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 E GRAND AVE, BELOIT, WI 53511-6314
(608) 368-8087
Mailing address
540 E GRAND AVE, BELOIT, WI 53511-6314
(608) 368-8087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
8971-123
WI
Other
Enumeration date
09/13/2011
Last updated
06/25/2020
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