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1386795169
BERNARD RILEY SISSON
ITHACA, NY
NPI
1386795169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY R0396501)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Mr. BERNARD RILEY SISSON LCSW
313 N AURORA ST
ITHACA, NY 14850-4201
Phone number: 607-280-8340
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Mailing Address
Mr. BERNARD RILEY SISSON LCSW
1779 ELLIS HOLLOW RD
ITHACA, NY 14850
Phone number: 607-539-6218
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