Individual
MRS. LILY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1179 W 14TH ST, CROWLEY, LA 70526-2607
(337) 523-8111
Mailing address
1179 W 14TH ST, CROWLEY, LA 70526-2607
(337) 523-8111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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