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NPI Code Detail

MEDICARE: SUMMER PAPIN LCSW

MEDICARE: SUMMER PAPIN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor2009031756MO

General Provider Information

NPI Number : 1710313564
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER PAPIN LCSW
Provider Business Mailing Address
First Line : 10556 BUTLER CIR
Second Line :
City : ROLLA
State : MO
Zip : 65401-7740
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 203 N GRAND ST
Second Line :
City : SALEM
State : MO
Zip : 65560-1344
Country : US
Telephone Number : 573-729-4103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2013
Last Update Date : 09/24/2013

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Directions to “ SUMMER PAPIN LCSW” Practice Location

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