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1740481423
MICHAEL LEE SIMMONS
TUSTIN, CA
NPI
1740481423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS23672)
Enumeration Date
2007-05-30
Last Update Date
2009-06-26
Business Address
Mr. MICHAEL LEE SIMMONS LCSW, CDS
17632 IRVINE BLVD STE 250
TUSTIN, CA 92780-3148
Phone number: 714-745-7198
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Mailing Address
Mr. MICHAEL LEE SIMMONS LCSW, CDS
10630 LAKESIDE DR N UNIT J
GARDEN GROVE, CA 92840-5078
Phone number: 562-252-5051
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