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Individual

MRS. MARY ELIZABETH SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 582-2411
(864) 582-7178
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5156
(864) 582-2411
(864) 582-7178

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6474
SC
101YP2500X
Professional Counselor
Primary
7532
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC2281
SC
Enumeration date
02/27/2020
Last updated
09/01/2023
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