# LAURIE ANNE COOMBS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992150759
- **Authorized official:** LAURIE ANNE COOMBS LICSW (PRESIDENT)
- **Authorized official phone:** (802) 282-1786

## Contact information

- **Practice address:** 120 MERCHANTS ROW, RUTLAND, VT 05701-5911
- **Practice address phone:** (802) 282-1786
- **Practice address fax:** (802) 747-0095
- **Mailing address:** 85 DAVIS ST, RUTLAND, VT 05701-3309
- **Mailing address phone:** (802) 282-1786
- **Mailing address fax:** (802) 747-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089.0048415 | VT | Yes |

## Other

- **Enumeration date:** 04/29/2016
- **Last updated:** 04/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0029313 | MEDICARE PTAN | VT |
| 05 | — | 1018310 | — | VT |