Individual
PATRICIA B SUMMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 WATSON RD, SPRINGFIELD, TN 37172-4510
(800) 632-6074
Mailing address
1507 CARNEY WINTERS RD, ASHLAND CITY, TN 37015-4609
(615) 792-3863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSW0000000585
TN
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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