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1356496624
RANDY SUMMERS
MERCED, CA
NPI
1356496624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT 21915)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
RANDY SUMMERS MFT 21915
300 E 15TH ST
MERCED, CA 95340-6217
Phone number: 209-381-6800
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Mailing Address
RANDY SUMMERS MFT 21915
1821 COVINGTON WAY
MODESTO, CA 95355-3201
Phone number: 209-988-1927
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