Individual
MS. DORY RAE SIMONSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3610 BUSH ST, RALEIGH, NC 27609-7511
(919) 876-3130
(919) 876-3134
Mailing address
3610 BUSH ST, RALEIGH, NC 27609-7511
(919) 876-3130
(919) 876-3134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010849
NC
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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