Individual
JERICHO SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
Mailing address
1600 S LANE ST, SEATTLE, WA 98144-2810
(206) 682-2371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CG61311779
WA
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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