Individual
RUTH S HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3585
Mailing address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
31766
CA
1041C0700X
Clinical Social Worker
Primary
LCSW-875
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008669
—
CA
Enumeration date
02/26/2007
Last updated
04/13/2018
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