Individual
SHAUNICA C SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
6914 WALNUT FARM DR, LOUISVILLE, KY 40229-3416
(502) 650-5456
Mailing address
6914 WALNUT FARM DR, LOUISVILLE, KY 40229-3416
(502) 650-5456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
KY4578
KY
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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