Individual
KATIE LYNN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1137 S BERNARD RD, SUITE A PMB 1006, BROUSSARD, LA 70518
(337) 306-4540
Mailing address
1137 S BERNARD RD, SUITE A PMB 1006, BROUSSARD, LA 70518
(337) 306-4540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14083
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14083
LICENSE NUMBER
—
Enumeration date
12/15/2021
Last updated
09/29/2023
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