Individual
MARION SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
856 BANKS LOMAN ROAD, GARDEN VALLEY, ID 83622
(208) 462-2762
Mailing address
PO BOX 816, GARDEN VALLEY, ID 83622-0816
(208) 462-2762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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