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Individual
MR. THOMAS RUSSELL HUMBERD
Active
Individual
MR. THOMAS RUSSELL HUMBERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC MHSP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000001609
TN
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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