Individual
KIMBERLY SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 HIGHWAY 7 S STE G, HOLLY SPRINGS, MS 38635-9108
(662) 274-3220
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M8981
MS
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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