DONALD RAY CISCO

SOUTHGATE, MI
NPI1205456308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-04-20
Last Update Date2020-04-20
Business Address
DONALD RAY CISCO B.A. S.S.T.
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
Mailing Address
DONALD RAY CISCO B.A. S.S.T.
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
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