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Individual

MS. ANGIE M. SIMONTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5001 HIGHWAY 190 EAST SERVICE RD STE D4-5, COVINGTON, LA 70433
(985) 317-4319
(855) 203-0537
Mailing address
700 MARINERS PLAZA DR STE 704A, MANDEVILLE, LA 70448-4799
(985) 317-4319
(855) 203-0527

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7555
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2421875
LA
Enumeration date
09/09/2010
Last updated
01/14/2025
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