Individual
ANNA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 W WALNUT ST, JOHNSON CITY, TN 37604-6774
(423) 202-3622
(423) 631-0019
Mailing address
321 W WALNUT ST, JOHNSON CITY, TN 37604-6774
(423) 202-3622
(423) 631-0019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TN
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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