SAMUEL SIMMONS

MINNEAPOLIS, MN
NPI1902281256
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300322)
Enumeration Date2015-07-28
Last Update Date2015-07-28
Business Address
-- SAMUEL SIMMONS LADC
3442 25TH AVE S
MINNEAPOLIS, MN 55406-2504
Phone number: 612-721-0106
Mailing Address
-- SAMUEL SIMMONS LADC
3442 25TH AVE S
MINNEAPOLIS, MN 55406-2504
Phone number: 612-721-0106
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