Provider Information for 1992121065
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WATISHA D. SIMS LPC
Sex: Female
NPI: 1992121065
Last Updated: 2019-04-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1992121065 | ||||||||||||||||
| Enumeration Date | 2014-03-12 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 9315 TELEGRAPH RD REDFORD, MI 48239-1260 United States Phone: 313-450-4500 | Fax: | ||||||||||||||||
| Primary Practice Address | 9315 TELEGRAPH RD REDFORD, MI 48239-1260 United States Phone: 313-450-4500 | Fax: | ||||||||||||||||
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