Individual
LAURA SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 MENCHACA RD BLDG 3, AUSTIN, TX 78745-5013
(512) 906-9953
Mailing address
3512 BLACK GRANITE DR, AUSTIN, TX 78744-3333
(512) 906-9953
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
94345
TX
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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