Individual
DAVID SUMMERSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3310
(781) 979-3326
Mailing address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3310
(781) 979-3326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1027043
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200992
—
MA
Enumeration date
12/06/2005
Last updated
04/08/2013
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