Individual
MISS ALICIA MARIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4613 FAIRFIELD ST, METAIRIE, LA 70006-2742
(504) 544-0740
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-14439
LA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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