Individual
MS. LORIEN ELIZABETH COOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 GENA AVE, DERRY, NH 03038-5340
(603) 552-8848
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 829-4040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NHL11215460
DRIVER LICENSE
NH
Enumeration date
01/23/2020
Last updated
01/23/2020
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