Individual
AMELIA MARIAH SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12421 FIRST AVE S, SOUTHGATE, MI 48195-3541
(313) 694-5412
Mailing address
13511 ARCHDALE ST, DETROIT, MI 48227-1335
(313) 694-5412
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801114871
MI
Other
Enumeration date
08/07/2019
Last updated
06/02/2025
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