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Organization
SUMMIT CLINICAL SERVICES LLC
Active
Organization
SUMMIT CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A RICHARDS (OWNER)
(262) 719-5177
Entity
Organization
Contact information
Practice address
816 WASHINGTON ST, MANITOWOC, WI 54220-4537
(262) 719-5177
Mailing address
816 WASHINGTON ST, MANITOWOC, WI 54220-4537
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/17/2022
Last updated
07/14/2024
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