MALCOLM U SIMMONS

WINTERVILLE, NC
NPI1437638301
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-10
Last Update Date2018-08-10
Business Address
Mr. MALCOLM U SIMMONS
697 EDENBROOK DR
WINTERVILLE, NC 28590-7099
Phone number: 252-495-8454
Mailing Address
Mr. MALCOLM U SIMMONS
697 EDENBROOK DR
WINTERVILLE, NC 28590-7099
Phone number: 252-495-8454
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