Individual
MISS MITZI A SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 476-4579
Mailing address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 476-4579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
07/24/2015
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