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Individual
MS. NANCY HUMKE
Active
Individual
MS. NANCY HUMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01297
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01297
LICENSE
IA
Enumeration date
07/15/2014
Last updated
07/15/2014
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