MR. Shanon Michael Simms
NPI #1164274494 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1164274494
- Entity Type
- Individual
- Name
- MR. Shanon Michael Simms
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 2, 2024
- Last Updated
- Apr 2, 2024
Practice Location
- Address
- 1305 CUMBERLAND AVE STE 225
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-1343
- Phone
- (317) 308-1367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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