Individual
MRS. MICHELLE MARIE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 PRESCOTT DR, JOLIET, IL 60432-0723
(815) 723-0813
(815) 462-6639
Mailing address
915 PRESCOTT DR, JOLIET, IL 60432-0723
(815) 723-0813
(815) 462-6639
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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