Individual
KIMBERLIE MARIE SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5284 S COMMERCE DR STE C134, SALT LAKE CITY, UT 84107-5360
(801) 266-4643
Mailing address
45 E VINE ST, MURRAY, UT 84107-7904
(801) 266-4643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1802359
OH
1041C0700X
Clinical Social Worker
Primary
11152697
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
05/25/2018
Last updated
02/01/2022
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