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Individual

DANIEL SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
6555 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4926
(248) 592-2300
(248) 592-2340
Mailing address
6555 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4926
(248) 592-2300
(248) 592-2340

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
05/16/2008
Last updated
05/16/2008
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