CYNTHIA LYNN SISSOM

SAPULPA, OK
NPI1982845053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  669)
Enumeration Date2009-03-18
Last Update Date2009-03-18
Business Address
-- CYNTHIA LYNN SISSOM LADC
316 E LEE AVE
SAPULPA, OK 74066-4306
Phone number: 918-227-9890
Mailing Address
-- CYNTHIA LYNN SISSOM LADC
PO BOX 927
SAPULPA, OK 74067-0927
Phone number: 918-227-9890
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