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Individual

ALI ESTELLE SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8703 HIGHWAY 17 BYP S STE I, MYRTLE BEACH, SC 29575-7701
(843) 457-1053
Mailing address
106 TECUMSEH DR, MARIETTA, OH 45750-5435
(740) 516-3379

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/12/2017
Last updated
07/12/2017
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