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Individual

JOHN STEVEN SUMMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1828 SW QUIVIRA DR, TOPEKA, KS 66604-3537
(785) 979-4715
(785) 273-4382
Mailing address
1828 SW QUIVIRA DR, TOPEKA, KS 66604-3537
(785) 979-4715
(785) 273-4382

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0645
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000010148
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
12/01/2006
Last updated
07/08/2007
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