Individual
RUTH KOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
705 PENINSULA DR, DAVIDSON, NC 28036-7200
(704) 237-4042
Mailing address
2227 REDWOOD DR, INDIAN TRAIL, NC 28079-4301
(704) 651-7588
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12219A
NC
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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