Individual
TRACY SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 DRUSILLA LN STE E, BATON ROUGE, LA 70809-1495
(225) 930-4530
(225) 930-4532
Mailing address
2320 DRUSILLA LN STE E, BATON ROUGE, LA 70809-1495
(225) 930-4530
(225) 930-4532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
LA
Enumeration date
04/09/2018
Last updated
04/09/2018
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