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Individual

MS. ELLAREE LOUISE SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-S,LICOC, MSSA

Contact information

Practice address
7654 SLATE RIDGE BLVD., REYNOLDSBURG, OH 43068
(614) 523-6629
(866) 820-4098
Mailing address
7654 SLATE RIDGE BLVD., REYNOLDSBURG, OH 43068
(614) 626-2696
(866) 820-4098

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
956835
OH
1041C0700X
Clinical Social Worker
Primary
I.1201237-SUPV
OH

Other

Enumeration date
11/19/2013
Last updated
11/19/2013
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