Individual
DEONTA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19436 PACKARD ST, DETROIT, MI 48234-3195
(313) 231-6049
Mailing address
19436 PACKARD ST, DETROIT, MI 48234-3195
(313) 231-6049
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2016
Last updated
11/12/2016
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