Most Relevant Information
Provider Data
| NPI Number: | 1003417312 |
| Provider Name: | KARA DEAN SIMPSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.022119 |
Most Important Dates
| Enumeration Date: | 11/03/2020 |
| Last Updated: | 04/13/2021 |
Provider Practice Location
229 MARTIN AVE
CANTON
IL
615202520
Practice Location Phone/Fax
| Phone: | 3096471881 |
| Fax: |
Provider Mailing Location
229 MARTIN AVE
CANTON
IL
615202520
Provider Mailing Phone/Fax
| Phone: | 3096471881 |
| Fax: |