Individual
KATHERINE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
103 COLLEGE AVE SE, GRAND RAPIDS, MI 49503-5921
(616) 358-4221
Mailing address
932 VIRGINIA ST SE, GRAND RAPIDS, MI 49506-1511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
10/31/2016
Last updated
11/08/2023
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