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1790500999
KATHY LYNNE SUMMERS
IRVING, TX
NPI
1790500999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 66673)
Enumeration Date
2024-11-21
Last Update Date
2024-11-21
Business Address
KATHY LYNNE SUMMERS LCDC-I
2425 TEXAS DR
IRVING, TX 75062-7027
Phone number: 945-288-0030
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Mailing Address
KATHY LYNNE SUMMERS LCDC-I
9121 WINDRUSH DR N APT 1008
FORT WORTH, TX 76116-6653
Phone number: 817-209-9601
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