Provider Information for 1750157897
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Ms. FAITH COMFORT MAMOMBE LCSW
Sex: Female
NPI: 1750157897
Last Updated: 2023-11-29
Certification Date: 2023-11-29
Certification Date: 2023-11-29
Details
Name | Value | ||||||||
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NPI | 1750157897 | ||||||||
Enumeration Date | 2023-11-29 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 6927 SCENIC SUNSET SAN ANTONIO, TX 78249-3515 United States Phone: 251-751-9133 | Fax: | ||||||||
Primary Practice Address | 9821 CAMINO VILLA APT 537 SAN ANTONIO, TX 78254-5623 United States Phone: 251-751-9133 | Fax: | ||||||||
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