Individual
LEAH SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 473-2106
Mailing address
PO BOX 5091, BRANDON, MS 39047-5091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
11/27/2023
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