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1396390761
TEYONNAH SUEANN SUMMEROUR
WASILLA, AK
NPI
1396390761
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Former Name
TEYONNAH SUEANN WILLIAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-08-02
Last Update Date
2023-08-01
Business Address
TEYONNAH SUEANN SUMMEROUR
7010 E BOGARD RD
WASILLA, AK 99654-4711
Phone number: 907-373-4732
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Mailing Address
TEYONNAH SUEANN SUMMEROUR
PO BOX 876741
WASILLA, AK 99687-6741
Phone number:
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