MS. Laken J Sisson

NPI #1053889774 in Rockford, Illinois

Provider Information

NPI Number: 1053889774
Entity Type: Individual
Name: MS. Laken J Sisson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Nov 12, 2018
Last Updated: May 1, 2019

Practice Location

Address: 301 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61104-1012
Phone: (815) 668-7810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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