Provider Information for 1841331048
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Ms. ANGELA COMBS LCSW
Sex: Female
NPI: 1841331048
Last Updated: 2021-02-15
Certification Date: 2021-02-15
Certification Date: 2021-02-15
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841331048 | ||||||||||||
| Enumeration Date | 2007-02-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2250 THUNDERSTICK DR STE 1104 LEXINGTON, KY 40505-9009 United States Phone: 859-254-1035 | Fax:859-254-2075 | ||||||||||||
| Primary Practice Address | 2250 THUNDERSTICK DR STE 1104 LEXINGTON, KY 40505-9009 United States Phone: 859-254-1035 | Fax:859-254-2075 | ||||||||||||
| Secondary Practice Address(es) | 600 OLD FRANKFORT CIR | ||||||||||||
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