Jill M Cisar

NPI #1043494578 in Menasha, Wisconsin

Provider Information

NPI Number: 1043494578
Entity Type: Individual
Name: Jill M Cisar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 19, 2007
Last Updated: Dec 4, 2008

Practice Location

Address: 1095 MIDWAY RD
City: Menasha
State: Wisconsin
ZIP Code: 54952-1115
Phone: (920) 720-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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