Individual
ALEXANDRIA MIA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 BUCKEYE BLVD, PORT CLINTON, OH 43452-1423
(419) 734-2942
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1800777
OH
104100000X
Social Worker
Primary
S.1800777-TRNE
OH
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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