Individual
ALEXANDER SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-C
Contact information
Practice address
6548 TOWN CENTER DR STE D, CLARKSTON, MI 48346-4823
(248) 483-0507
Mailing address
12421 FIRST AVE S, SOUTHGATE, MI 48195-3541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801115584
MI
104100000X
Social Worker
6851107036
MI
1041C0700X
Clinical Social Worker
6801107036
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/19/2018
Last updated
08/07/2023
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