Individual
SUMMER BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5404 W ELM ST STE H, MCHENRY, IL 60050-4007
(815) 331-8768
(815) 331-8760
Mailing address
5404 W ELM ST STE H, MCHENRY, IL 60050-4007
(815) 331-8768
(815) 331-8760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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