Shani W Simon LCSW

NPI 1407057466 - Social Worker - 1041C0700X

NPI Details
NPI 1407057466
Gender Female
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
621 4TH ST
STE 2
DAVIS CA, 95616-4151, US
Phone (530) 756-8445
Fax
Business Location
621 4TH ST STE 2
DAVIS CA, 95616-4151, US
Phone (530) 756-8445
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State California
License Number LCS 19008
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According to our database, Shani W Simon LCSW NPI is 1407057466, taxonomy code is 1041C0700X and license number is LCS 19008, license state is located at California. Shani W Simon LCSW physically located at 621 4th St, Davis CA, 95616-4151. NPI Number Shani W Simon LCSW has the Individual type.

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1407057466 NPI number is provided on an as is basis without warranty of any kind. 1407057466 is maintained by the National Plan & Provider Enumeration System. The contents of Shani W Simon LCSW are for informational purposes only.