Individual
MRS. ANDREA KAE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
ST GEORGE MEDICAL CLINIC, 138 CRESTVIEW DRIVE, HAMBLETON, WV 26269
(304) 478-6000
Mailing address
260 WHITE TAIL ROAD, GLADY, WV 26268
(304) 621-7624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP00938458
WV
Other
Enumeration date
05/09/2018
Last updated
06/15/2021
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