Individual
DAKOTA MARIE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 4TH ST, MALONE, NY 12953-1340
(518) 481-8160
Mailing address
119 JEFFERSON AVE, MASSENA, NY 13662-1257
(315) 705-8861
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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