Individual
ASHLEE NICHOLE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1818 E. WINDSOR RD., URBANA, IL 61802-9566
(217) 255-9580
(217) 255-9650
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150014421
IL
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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