Individual
MR. JAMAAL SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
844 LOCUST RD, HAVRE DE GRACE, MD 21078-2728
(301) 447-0905
Mailing address
844 LOCUST RD, HAVRE DE GRACE, MD 21078-2728
(301) 447-0905
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23957
MD
Other
Enumeration date
08/05/2018
Last updated
06/28/2021
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