Individual
MRS. SONYA SEBREN SUMMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 PEACHTREE LN, MADISON, MS 39110-9217
(601) 906-2375
Mailing address
17 PEACHTREE LN, MADISON, MS 39110-9217
(601) 906-2375
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0177
MS
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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