Individual
GREGORY SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
254 E MAIN ST, NEWARK, DE 19711-7311
(302) 731-1504
Mailing address
301 NICOLA LN, HOCKESSIN, DE 19707-9191
(302) 234-1324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0000380
DE
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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