Individual
STEPHANIE A SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1126 GATEWAY LOOP STE 140, SPRINGFIELD, OR 97477-7722
(541) 654-8107
Mailing address
1126 GATEWAY LOOP STE 140, SPRINGFIELD, OR 97477-7722
(541) 654-8107
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7683
OR
Other
Enumeration date
10/13/2019
Last updated
02/10/2020
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