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
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(270) 798-8437
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
07/01/2026
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