Individual
DOMINIC SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
610 E LIBERTY ST, SUMTER, SC 29153-5035
(803) 225-6441
Mailing address
PO BOX 644, SPARTANBURG, SC 29304-0644
(864) 451-2258
(888) 817-0606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15854
SC
Other
Enumeration date
09/08/2016
Last updated
08/21/2023
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