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1174694954
DOUG SUMMERS
GLENDALE, AZ
NPI
1174694954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LISAC0102)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Mr. DOUG SUMMERS LISAC
6376 W BELL RD
GLENDALE, AZ 85308-3602
Phone number: 623-486-8202
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Mailing Address
Mr. DOUG SUMMERS LISAC
2017 N 7TH ST
PHOENIX, AZ 85006-2102
Phone number: 602-452-4684
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