Individual
EVELYN M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 CORPORATION PKWY STE H, RALEIGH, NC 27610-1363
(919) 256-9011
Mailing address
85 ROCKWOOD RD, FRANKLINTON, NC 27525-9511
(984) 289-3081
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
000031194928
NC
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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