Individual
LYVONNE GREENE- SIMINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HCS-PROVIDER
Contact information
Practice address
2429 PARKSIDE DR, GRAND PRAIRIE, TX 75052-4612
(817) 975-9448
Mailing address
2429 PARKSIDE DR, GRAND PRAIRIE, TX 75052-4612
(817) 975-9448
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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