Individual
MRS. TRACY LOUISE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW
Contact information
Practice address
3970 DESOTO AVE, MCCORD HALL, 219, MEMPHIS, TN 38125
(901) 351-5115
Mailing address
3289 HUNTER RD N, SOUTHAVEN, MS 38672-8719
(901) 351-5115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
07/25/2024
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