Individual
MRS. KOLLEEN L SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9 HILLTOP VILLAGE CENTER DR, EUREKA, MO 63025-1106
(314) 374-1620
(636) 587-3742
Mailing address
9 HILLTOP VILLAGE CENTER DR, EUREKA, MO 63025-1106
(314) 374-1620
(636) 587-3742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003000406
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495864704
—
MO
Enumeration date
08/15/2005
Last updated
04/12/2010
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