Individual
SANDRA DENISE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 833-2500
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 833-2500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401009171
—
MI
Enumeration date
11/01/2013
Last updated
01/31/2024
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