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Individual

SHEENA MARIE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADAC

Contact information

Practice address
157 LAKE DR, RIPLEY, TN 38063-1139
(901) 451-3216
Mailing address
157 LAKE DR, RIPLEY, TN 38063-1139
(901) 451-3216

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1485
TN

Other

Enumeration date
07/07/2023
Last updated
07/07/2023
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