Individual
MRS. ALISA BROOKE SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-3247
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42240-1626
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3547
KY
1041C0700X
Clinical Social Worker
3547
KY
1041C0700X
Clinical Social Worker
5195
KY
1041S0200X
School Social Worker
—
—
Other
Enumeration date
08/06/2007
Last updated
09/11/2023
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