LAKEN J SISSON

ROCKFORD, IL
NPI1053889774
Former NameLAKEN J RIPPENTROP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2018-11-12
Last Update Date2019-05-01
Business Address
MS. LAKEN J SISSON
301 E STATE ST
ROCKFORD, IL 61104-1012
Phone number: 815-668-7810
Mailing Address
MS. LAKEN J SISSON
301 E STATE ST
ROCKFORD, IL 61104-1012
Phone number: 815-990-5265