Individual
AMANDA KATE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
364 RALEIGH ST, HOLLY SPRINGS, NC 27540-9047
(919) 647-4600
Mailing address
420 LONE PINE LOOP, FUQUAY VARINA, NC 27526-3723
(919) 285-6173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013973
NC
1041C0700X
Clinical Social Worker
P013133
NC
Other
Enumeration date
08/01/2019
Last updated
08/05/2022
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