Individual
SAMANTHA ELIZABETH SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
350 SUN TEMPLE DR, MADISON, AL 35758-5919
(256) 975-4291
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 975-4291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3017G
AL
1041C0700X
Clinical Social Worker
Primary
3672C
AL
Other
Enumeration date
08/02/2013
Last updated
03/15/2023
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