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Individual

ALLYSON SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC1

Contact information

Practice address
279 BRICK KILN RD, TEATICKET, MA 02536-5651
(617) 416-0151
Mailing address
305 ACAPESKET RD, EAST FALMOUTH, MA 02536-6906
(617) 416-0151

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18781
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18781
LADC1
MA
Enumeration date
02/26/2022
Last updated
02/26/2022
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