Individual
LINDA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 292-5910
(845) 513-2265
Mailing address
PO BOX 590, LIBERTY, NY 12754-0590
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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