Individual
LAURIE BOMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5138 SHELBURNE RD, SHELBURNE, VT 05482-6698
(802) 865-3450
(802) 347-6112
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097.0135645
VT
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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