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Individual
JAMES KINTA SUMMERALL
Active
Individual
JAMES KINTA SUMMERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM0800
WI
101YM0800X
Mental Health Counselor
Primary
1381-26202844
WI
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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