Individual
DESIREE DAWN WYROSDICK SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
604 ADELINE ST STE B, HATTIESBURG, MS 39401-3929
(228) 243-5124
Mailing address
1980 PURVIS BAXTERVILLE RD, LUMBERTON, MS 39455-8932
(678) 314-5060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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