Individual
JESSICA ELAINE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4601 67TH AVE SE, OLYMPIA, WA 98513-4902
(360) 412-4710
Mailing address
5515 65TH AVE SE, OLYMPIA, WA 98513-5010
(239) 223-9245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60787892
WA
Other
Enumeration date
12/05/2017
Last updated
03/17/2018
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