Individual
SUMMER WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CHURCH ST STE 4, RAINBOW CITY, AL 35906-6287
(256) 459-5600
Mailing address
116 CHURCH ST STE 4, RAINBOW CITY, AL 35906-6287
(256) 459-5600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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