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Individual

DEJA SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-A

Contact information

Practice address
2616 W ROOSEVELT BLVD, MONROE, NC 28110-0067
(704) 776-4153
Mailing address
2616 W ROOSEVELT BLVD, MONROE, NC 28110-0067
(704) 776-4153

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015574
NC
1041C0700X
Clinical Social Worker
Primary
P023355
NC

Other

Enumeration date
05/07/2021
Last updated
01/13/2026
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