Individual
PATRICIA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
200 PLANTATION DR, LEXINGTON, SC 29072-7930
(203) 615-3264
Mailing address
200 PLANTATION DR, LEXINGTON, SC 29072-7930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10998
SC
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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