Individual
EBONI COOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
141 OLD ORANGE PARK RD APT 152, ORANGE PARK, FL 32073-3029
(413) 657-4790
Mailing address
141 OLD ORANGE PARK RD APT 152, ORANGE PARK, FL 32073-3029
(413) 657-4790
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
07/07/2023
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