Provider Information for 1891330155
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HALEY CHRISTINE SIMPSON LCSW
Sex: Female
NPI: 1891330155
Last Updated: 2021-10-11
Certification Date: 2021-10-11
Certification Date: 2021-10-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891330155 | ||||||||
| Enumeration Date | 2019-11-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8 EXECUTIVE DR STE 200 FAIRVIEW HEIGHTS, IL 62208-1350 United States Phone: 618-618-9504 | Fax: | ||||||||
| Primary Practice Address | 8 EXECUTIVE DR STE 200 FAIRVIEW HEIGHTS, IL 62208-1350 United States Phone: 618-688-7087 | Fax: | ||||||||
| Secondary Practice Address(es) | 2555 WINTERCREEK DR | ||||||||
| Health Information Exchange |
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