Individual
HEATHER SUMMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97955 S. 4489 DRIVE, VIAN, OK 74962
(918) 781-3735
Mailing address
P.O. BOX 357, GORE, OK 74435-0357
(918) 781-3735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
01/30/2026
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