Individual
BRIAN K. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1334 NIPA BLVD, FAIRFIELD, IA 52556-8987
(641) 919-4004
(319) 694-4004
Mailing address
1334 NIPA BLVD, FAIRFIELD, IA 52556-8987
(641) 919-4004
(319) 694-4004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06571
IA
Other
Enumeration date
08/31/2006
Last updated
04/04/2008
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