Individual
MARY KATHRINE RAE SUMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4500 PEAR RIDGE DR, 432, DALLAS, TX 75287-5228
(972) 781-8086
Mailing address
4500 PEAR RIDGE DR, 432, DALLAS, TX 75287-5228
(972) 781-8086
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
26084506
TX
Other
Enumeration date
07/04/2013
Last updated
07/04/2013
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