Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 3589-C | AR |
NPI | 1003042540 |
---|---|
Provider Name | Veronica R Combs |
First Address | Springdale, AR 72762-6683 |
Second Address | Harrison, AR 72601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2009 |
Last Update Date | 29/08/2018 |