Individual
AEZIA SIMMONE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10018 GRAND PLZ, OMAHA, NE 68134-2535
(531) 203-6309
Mailing address
10018 GRAND PLZ, OMAHA, NE 68134-2535
(531) 203-6309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1234
NE
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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