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Individual

CAROL LYNN COMBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
650 E INDIAN SCHOOL, PHOENIX, AZ 85012
(602) 277-5551
(602) 222-2607
Mailing address
11304 N 91ST DR, PEORIA, AZ 85345
(602) 277-5551
(602) 222-2607

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LMSW12034
AZ

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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