Individual
TATUM SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
887 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3154
(803) 664-1243
Mailing address
4020 CAPENSIS LN, RAVENEL, SC 29470-3335
(803) 664-1243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14938
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/22/2018
Last updated
12/23/2024
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