CAROLE ANN SISCO

GRAND RAPIDS, MI
NPI1528212040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  6401006497)
Enumeration Date2008-11-11
Last Update Date2008-11-11
Business Address
Mrs. CAROLE ANN SISCO LPC
906 LAKE MICHIGAN DR. NW
GRAND RAPIDS, MI 49504
Phone number: 616-808-1898
Mailing Address
Mrs. CAROLE ANN SISCO LPC
906 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-5643
Phone number: 616-808-1898
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