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Individual

MRS. LORRAINE DALE SIMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LLP, LPC

Contact information

Practice address
5914 N LAPEER RD, NORTH BRANCH, MI 48461-9778
(810) 245-3885
(810) 667-6459
Mailing address
PO BOX 445, LAPEER, MI 48446-0445
(810) 245-3885
(810) 667-6459

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401004837
MI
103TC1900X
Counseling Psychologist
Primary
6301007280
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11580952
CAQH
MI
Enumeration date
04/06/2007
Last updated
02/09/2009
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