Most Relevant Information
Provider Data
| NPI Number: | 1003638552 |
| Provider Name: | SUMMER A GILLIAM |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/28/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
4610 SPAHR ST
HOLT
MI
488421124
Practice Location Phone/Fax
| Phone: | 7074952195 |
| Fax: |
Provider Mailing Location
4015 BURKLEY RD
WILLIAMSTON
MI
488959409
Provider Mailing Phone/Fax
| Phone: | 5174026901 |
| Fax: |