Individual
MRS. MARISA JILL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 448-1758
(765) 448-3898
Mailing address
80 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 448-1758
(765) 448-3898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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