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Individual

MS. MICHELLE MCCOMBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
76 HAMMERLUND WAY, TECH 3, MIDDLETOWN, RI 02842-5640
(401) 207-5733
(401) 845-8933
Mailing address
31 JOHN CLARKE ROAD, MIDDLETOWN, RI 02842-5641
(401) 207-5733
(401) 845-8933

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01985
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MM77400
RI
Enumeration date
09/12/2008
Last updated
02/24/2010
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