Individual
SUMMER ROYALE WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 AMBER ST, LAFAYETTE, LA 70507-5628
(337) 277-7701
Mailing address
120 AMBER ST, LAFAYETTE, LA 70507-5628
(337) 277-7701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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