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1629085402
JACQUELYN MALLOY SIMMONS
SYRACUSE, NY
NPI
1629085402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R016898)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
Ms. JACQUELYN MALLOY SIMMONS LCSW BCD
327 W FAYETTE ST SUITE 310
SYRACUSE, NY 13202-1275
Phone number: 315-426-0690
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Mailing Address
Ms. JACQUELYN MALLOY SIMMONS LCSW BCD
8223 VERBECK DR
MANLIUS, NY 13104-9311
Phone number: 315-430-3933
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