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Organization

LAURIE ANNE COOMBS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE ANNE COOMBS LICSW (PRESIDENT)
(802) 282-1786
Entity
Organization

Contact information

Practice address
120 MERCHANTS ROW, RUTLAND, VT 05701-5911
(802) 282-1786
(802) 747-0095
Mailing address
85 DAVIS ST, RUTLAND, VT 05701-3309
(802) 282-1786
(802) 747-0095

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0048415
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0029313
MEDICARE PTAN
VT
05
1018310
VT
Enumeration date
04/29/2016
Last updated
04/29/2016
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