Organization
ANNE B SUMMERS, LLC
Active
Organization
ANNE B SUMMERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE BREDEMAN SUMMERS PHD, MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(417) 894-3992
Entity
Organization
Contact information
Practice address
1310 E. KINGSLEY ST., STE C, SPRINGFIELD, MO 65804
(417) 894-3992
(417) 332-8680
Mailing address
2110 W. MELBOURNE CT., SPRINGFIELD, MO 65810
(417) 894-3992
(417) 332-8680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205160256
—
MO
Enumeration date
07/15/2019
Last updated
07/15/2019
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