Individual
TRUDY ANN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 227-1211
(810) 220-5509
Mailing address
12851 GRAND RIVER RD, BRIGHTON, MI 48116-8506
(810) 227-1211
(810) 220-5509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801060152
MI
104100000X
Social Worker
6801060152
MI
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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