Individual
TINA FAYE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
17046 N HAGLER RD, NORTHPORT, AL 35475-5024
(207) 292-8278
Mailing address
17046 N HAGLER RD, NORTHPORT, AL 35475-5024
(205) 292-8278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2343C
AL
Other
Enumeration date
08/21/2019
Last updated
10/26/2020
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