Individual
MS. CAMILLE ROSS SUMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 KINGS WAY, AVENAL, CA 93204-9708
(559) 386-0587
Mailing address
1 KINGS WAY, AVENAL, CA 93204-9708
(559) 386-0587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS12508
CA
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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