MR. Bernard Riley Sisson, LCSW

NPI #1386795169 in Ithaca, New York

Provider Information

NPI Number: 1386795169
Entity Type: Individual
Name: MR. Bernard Riley Sisson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 313 N AURORA ST
City: Ithaca
State: New York
ZIP Code: 14850-4201
Phone: (607) 280-8340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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