Individual
MS. JAN SUMMERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
69 ELM ST, CAMDEN, ME 04843-1954
(207) 236-7947
Mailing address
69 ELM ST, CAMDEN, ME 04843-1954
(207) 236-7947
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1223
ME
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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