Most Relevant Information
Provider Data
| NPI Number: | 1003049545 |
| Provider Name: | MARK STEPHEN SIMULIS LCSW-C |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 13838 |
Most Important Dates
| Enumeration Date: | 09/01/2009 |
| Last Updated: | 10/31/2023 |
Provider Practice Location
1104 HEALTHWAY DR
SALISBURY
MD
218044469
Practice Location Phone/Fax
| Phone: | 4102195483 |
| Fax: | 4102195486 |
Provider Mailing Location
PO BOX 1978
SALISBURY
MD
218021978
Provider Mailing Phone/Fax
| Phone: | 4107491015 |
| Fax: | 4107490654 |