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1669140562
KEN JAMES SUMMERS
BLOOMINGTON, IL
NPI
1669140562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166.000929)
Enumeration Date
2021-09-03
Last Update Date
2021-09-03
Business Address
KEN JAMES SUMMERS MS, LMFT
3101 AIRPORT RD
BLOOMINGTON, IL 61704-8465
Phone number: 308-846-5901
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Mailing Address
KEN JAMES SUMMERS MS, LMFT
1101 BROADMOOR DR
BLOOMINGTON, IL 61704-6111
Phone number: 309-846-5901
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