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NPI Code Detail

MEDICARE: SIMONE GARRISON

MEDICARE: SIMONE GARRISON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
21041C0700XClinical Social Worker21724MD
31041C0700XClinical Social Worker0904014946VA

General Provider Information

NPI Number : 1881117117
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMONE GARRISON
Provider Business Mailing Address
First Line : 1207 DELAWARE AVE STE 579
Second Line :
City : WILMINGTON
State : DE
Zip : 19806-4743
Country : US
Telephone Number : 434-838-3117
Fax Number :
Provider Business Practice Location Address
First Line : 1207 DELAWARE AVE STE 579
Second Line :
City : WILMINGTON
State : DE
Zip : 19806-4743
Country : US
Telephone Number : 434-838-3117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2017
Last Update Date : 04/29/2025

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Directions to “ SIMONE GARRISON ” Practice Location

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