KELLY SUMMERS

SPRING LAKE PARK, MN
NPI1912217480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302446)
Enumeration Date2010-10-18
Last Update Date2010-10-18
Business Address
Ms. KELLY SUMMERS LADC
950 COUNTY HIGHWAY 10 108
SPRING LAKE PARK, MN 55432-1253
Phone number: 763-355-5092
Mailing Address
Ms. KELLY SUMMERS LADC
950 COUNTY HIGHWAY 10 108
SPRING LAKE PARK, MN 55432-1253
Phone number: 763-355-5092