Individual
GRACIE ALLENE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
398 PIONEER RD APT 12102, REXBURG, ID 83440-2071
(931) 703-7736
Mailing address
398 PIONEER RD APT 12102, REXBURG, ID 83440-2071
(931) 703-7736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ID
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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