Individual
ELLA RUTH SOMBELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1015 GLENDALE DR APT 15D, GREENSBORO, NC 27406-6456
(336) 686-2768
Mailing address
1015 GLENDALE DR APT 15D, GREENSBORO, NC 27406-6456
(336) 686-2768
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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