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Individual

AQUILLA SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
138 BROOKS RD, NORTH FORT MYERS, FL 33917-4105
(239) 810-8731
(833) 466-1320
Mailing address
138 BROOKS RD, NORTH FORT MYERS, FL 33917-4105
(239) 810-8731
(833) 466-1320

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
SW12190
FL

Other

Enumeration date
04/17/2013
Last updated
09/12/2024
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