Individual
AMY DENISE COOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3771 POPLAR AVE, MEMPHIS, TN 38111-6020
(901) 584-6340
Mailing address
9132 N WILDERWOOD LN, CORDOVA, TN 38016-4740
(901) 218-9997
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-133555
TN
Other
Enumeration date
09/03/2020
Last updated
11/09/2020
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