Individual
ESTHER SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15918 N FORECASTLE AVE, TUCSON, AZ 85739-9689
(520) 349-1615
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8540684
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8540684
CHILDRENS THERAPEUTIC FOSTER CARE BEHAVIORAL HEALTH
AZ
Enumeration date
06/05/2018
Last updated
06/05/2018
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