Individual
MS. SANDRA DIANA SIMMONS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
25 STANIFORD ST, BOSTON, MA 02114-2503
(617) 523-1529
(617) 523-1207
Mailing address
30 CLIPPER SHIP LN, EAST BOSTON, MA 02128-2709
(617) 561-8303
(617) 523-1207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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