ELLOUISE SUMMERVILLE

ASTORIA, NY
NPI1255604161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  084820)
Enumeration Date2012-02-23
Last Update Date2012-02-23
Business Address
ELLOUISE SUMMERVILLE
2534 STEINWAY ST
ASTORIA, NY 11103-3702
Phone number: 718-777-5243
Mailing Address
ELLOUISE SUMMERVILLE
158 DUBOIS AVE
STATEN ISLAND, NY 10310-2265
Phone number: 718-877-3209