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NPI Code Detail

MEDICARE: KAREN ANNE COOMBS BSW, LSW

MEDICARE: KAREN ANNE COOMBS BSW, LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS1600630OH

General Provider Information

NPI Number : 1932613544
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANNE COOMBS BSW, LSW
Provider Business Mailing Address
First Line : 1219 JEFFERSON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5836
Country : US
Telephone Number : 419-221-2821
Fax Number : 419-221-2821
Provider Business Practice Location Address
First Line : 1219 JEFFERSON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5836
Country : US
Telephone Number : 419-221-2821
Fax Number : 419-221-2824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2017
Last Update Date : 02/16/2018

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