Individual
MONIQUE SHAVONNE SUMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
4701 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8066
(501) 771-8261
(501) 771-8263
Mailing address
4701 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8066
(501) 771-8261
(501) 771-8263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
171M00000X
Case Manager/Care Coordinator
—
AR
Other
Enumeration date
12/16/2015
Last updated
01/10/2023
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