Individual
NATHANIEL SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26033 PENN ST, INKSTER, MI 48141-2638
(850) 345-5111
Mailing address
26033 PENN ST, INKSTER, MI 48141-2638
(850) 345-5111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
12/19/2016
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