Individual
BEVERLY SUMMITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 1619, CEMENT, OK 73017-9735
(405) 209-2833
Mailing address
RR 1 BOX 1619, CEMENT, OK 73017-9735
(405) 209-2833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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