Individual
KIMBERLY MCCOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
134 W 1180 N STE 5, TOOELE, UT 84074-1483
(435) 248-0333
(435) 248-0334
Mailing address
134 W 1180 N STE 5, TOOELE, UT 84074-1483
(435) 248-0333
(435) 248-0334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9082149-3502
UT
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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