Individual
LEE DAVID SIMMONS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSSW/LISW
Contact information
Practice address
11 ELM ST, MESCALERO, NM 88340-0620
(575) 937-4743
(575) 464-4847
Mailing address
PO BOX 620, MESCALERO, NM 88340-0620
(575) 937-4743
(575) 464-4847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
X-06861
NM
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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