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Individual

FALLON NOEL SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-CP, LCSW

Contact information

Practice address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5384
(803) 403-4264
Mailing address
200 ASHLEY OAKS DR, BLYTHEWOOD, SC 29016-8676
(803) 403-4264
(803) 403-4264

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11506
SC
1041C0700X
Clinical Social Worker
C009766
NC

Other

Enumeration date
05/02/2018
Last updated
05/02/2018
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