Summer Shore

NPI #1881250124 in Colwich, Kansas

Provider Information

NPI Number: 1881250124
Entity Type: Individual
Name: Summer Shore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 13, 2019
Last Updated: May 13, 2019

Practice Location

Address: 709 BROOKSIDE PL
City: Colwich
State: Kansas
ZIP Code: 67030-9683
Phone: (785) 534-9808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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