Individual
MS. DEBRA R. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3027 AYRE CT, FLINT, MI 48506-5402
(810) 252-4609
Mailing address
3027 AYRE CT, FLINT, MI 48506-5402
(810) 252-4609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
6801069084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750910736
BLUE SHIELD OPC
MI
Enumeration date
02/27/2007
Last updated
05/19/2021
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