Individual
DR. CAROL IVY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW-C
Contact information
Practice address
7103 A ANTOCK PLACE, UPPER MARLBORO, MD 20772
(240) 350-6377
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 726-8557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10896
MD
Other
Enumeration date
03/16/2006
Last updated
06/03/2021
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