Individual
BRANDY SUE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 SOUTHGATE PKWY, CAMBRIDGE, OH 43725-3024
(740) 781-0320
Mailing address
1750 SOUTHGATE PKWY, CAMBRIDGE, OH 43725-3024
(740) 781-0320
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
OH
Enumeration date
05/03/2022
Last updated
05/03/2022
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