Individual
ERICA L SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 SWAN DR, CENTRALIA, IL 62801
(618) 533-4423
Mailing address
145 E ALTON ST, NASHVILLE, IL 62263-1808
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
11/04/2008
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