Individual
JULIE R SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 528-0193
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 528-0193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
113739
MA
1041C0700X
Clinical Social Worker
Primary
ISW02193
RI
Other
Enumeration date
01/16/2007
Last updated
06/20/2014
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