Individual
SHANE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSWA
Contact information
Practice address
3512 HILL ST SE APT 322, ALBANY, OR 97322-3813
(920) 252-9705
Mailing address
3512 HILL ST SE APT 322, ALBANY, OR 97322-3813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
134973
WI
1041C0700X
Clinical Social Worker
Primary
A15593
OR
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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