Doris Trina' Sisk, LICSW Valid NPI
Individual provider · Clinical Social Worker · Fort Rucker, AL
- NPI
- 1649753344
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 4125C (AL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-09-10
- Last updated
- 2021-01-19
Practice location
Lyster Army Health Clinic, 301 Andrews Ave
Fort Rucker, AL 36362
(334) 255-7028