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Individual

LESLIE TY SUMMEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MIN

Contact information

Practice address
206 LCR 735, THORNTON, TX 76687-2219
(361) 777-6923
Mailing address
206 LCR 735, THORNTON, TX 76687-2219
(361) 777-6923

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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