Individual
MICHELLE ANN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 W BRADLEY RD, BROWN DEER, WI 53223-3713
(414) 371-1600
Mailing address
4550 W BRADLEY RD, BROWN DEER, WI 53223-3713
(262) 744-6638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19370
WI
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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