Individual
AMYE G SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 MARSHALL ST, JACKSON, MS 39202-1651
(601) 968-1690
Mailing address
PO BOX 2145, BRANDON, MS 39043-2145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7458
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03771399
—
MS
Enumeration date
09/08/2008
Last updated
03/17/2015
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