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Individual
STACY M SIMMONS
Active
Individual
STACY M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2014041447
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014041447
STATE OF MISSOURI
MO
Enumeration date
06/12/2020
Last updated
06/12/2020
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