Donald Ray Cisco Jr., BASST
Donald Ray Cisco Jr., BASST is a Clinical Social Worker in Southgate, Michigan. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
14799 Dix Toledo RdSouthgate, MI 48195-2507
Phone: (734) 324-8326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1205456308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BASST |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2020 |
| Last updated in NPPES | April 20, 2020 |
| Certification date | April 20, 2020 |
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