Individual
STACY LEE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4138 CEDAR LN, WEST SALEM, OH 44287-9141
(330) 465-8234
Mailing address
4138 CEDAR LN, WEST SALEM, OH 44287-9141
(330) 465-8234
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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