Individual
SHAKENAH SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
288 E MAIN ST, NEWARK, DE 19711-7311
(302) 731-1022
Mailing address
415 INMAN TER, WILLOW GROVE, PA 19090-3611
(215) 317-0164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
Q3-0010647
DE
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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