Individual
STEPHANIE SUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12670 NEW BRITTANY BLVD STE 201, FORT MYERS, FL 33907-3650
(239) 310-5396
Mailing address
12670 NEW BRITTANY BLVD STE 201, FORT MYERS, FL 33907-3650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
10/25/2023
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