TEYONNAH SUEANN SUMMEROUR

WASILLA, AK
NPI1396390761
Former NameTEYONNAH SUEANN WILLIAMS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-02
Last Update Date2023-08-01
Business Address
TEYONNAH SUEANN SUMMEROUR
7010 E BOGARD RD
WASILLA, AK 99654-4711
Phone number: 907-373-4732
Mailing Address
TEYONNAH SUEANN SUMMEROUR
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: