Individual
MISS MICHELLE LYNN SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
Mailing address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
07/29/2010
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