Organization
EL TANGO, LLC
Active
Other names
Alicia Simons, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA SIMONS LCSW (PRESIDENT)
(573) 424-7880
Entity
Organization
Contact information
Practice address
206 AUSTIN AVE, G, COLUMBIA, MO 65203-4066
(573) 424-7880
Mailing address
6298 N WATER CRESS CIR, COLUMBIA, MO 65202-7214
(573) 424-7880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010017529
MO
Other
Enumeration date
07/11/2010
Last updated
07/11/2010
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