Individual
SALEAN M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 PARK ST, OGDENSBURG, NY 13669-3911
(315) 713-9090
(315) 713-9330
Mailing address
811 MAIN ST, MORRISTOWN, NY 13664-3203
(585) 233-7822
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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