Individual
LATIFA SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 BREARLY DR, SICKLERVILLE, NJ 08081-4456
(215) 760-2035
Mailing address
94 BREARLY DR, SICKLERVILLE, NJ 08081-4456
(215) 760-2035
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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