Individual
MRS. LAVEEDA C SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
20509 S STATE ROUTE J, PECULIAR, MO 64078-9414
(816) 779-5173
(816) 758-5112
Mailing address
PO BOX 447, PECULIAR, MO 64078-0447
(816) 779-5173
(816) 758-5112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2016035595
MO
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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