Individual
SHECOLBY SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11640 TANAGER DR, JACKSONVILLE, FL 32225-2565
(202) 468-8557
Mailing address
11640 TANAGER DR, JACKSONVILLE, FL 32225-2565
(202) 468-8557
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023975100
APD
FL
Enumeration date
10/03/2018
Last updated
10/03/2018
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