Individual
CHERYL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301
(774) 826-3368
Mailing address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-3368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115805
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285836973
—
MA
Enumeration date
06/04/2007
Last updated
07/06/2018
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