Individual
JONATHAN PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
105 KATHRYN DR STE 3A, LEWISVILLE, TX 75067-4216
(972) 724-2005
Mailing address
1705 MEADOWVIEW DR, CORINTH, TX 76210-4114
(817) 403-7870
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61091
TX
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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