Individual
COLLEEN CHARISSE COOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1636 GOLD STAR DR, RALEIGH, NC 27607-3371
(984) 664-6820
Mailing address
1636 GOLD STAR DR, RALEIGH, NC 27607-3371
(984) 664-6820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008810
NC
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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