Individual
MRS. ELAINE CHARLOTTE SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
260 HOSPITAL RD, CANTON, GA 30114-2409
(678) 880-3939
(678) 880-0001
Mailing address
260 HOSPITAL RD, CANTON, GA 30114-2409
(678) 880-3939
(678) 880-0001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003092
GA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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