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1538204177
LARRY WAYNE SIMMONS
WILSON, NC
NPI
1538204177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NC C000013)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
MR. LARRY WAYNE SIMMONS LCSW
3204 NASH ST N
WILSON, NC 27896-1231
Phone number: 252-237-1626
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Mailing Address
MR. LARRY WAYNE SIMMONS LCSW
PO BOX 8085
WILSON, NC 27893-1085
Phone number: 252-237-1626
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