Shelby Lane Cissom
NPI #1659096550 in Ripley, Mississippi
Provider Information
- NPI Number
- 1659096550
- Entity Type
- Individual
- Name
- Shelby Lane Cissom
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Enumeration Date
- Oct 4, 2022
- Last Updated
- Oct 4, 2022
Practice Location
- Address
- 2441B COUNTY ROAD 501
- City
- Ripley
- State
- Mississippi
- ZIP Code
- 38663-9677
- Phone
- (662) 837-4258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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