Individual
SHELLIE DANIELLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
224 N GUADALUPE ST, SANTA FE, NM 87501-1851
(505) 955-1684
Mailing address
1219 MACLOVIA ST, SANTA FE, NM 87505-3246
(505) 670-8364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M05409
NM
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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