Individual
SUMMER T ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 SILVER ST, KINGMAN, AZ 86401-5545
(928) 530-4698
Mailing address
537 6TH ST STE C, PRESCOTT, AZ 86301-2021
(928) 777-3280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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