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Individual

JULIA HUMPHRIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
431 POST RD E, STE 14, WESTPORT, CT 06880-4403
(203) 554-0740
Mailing address
99 CAROL ST, DANBURY, CT 06810-8310
(203) 554-0740

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007283
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004039244
CT
01
387891
MHN
CT
Enumeration date
04/16/2010
Last updated
03/21/2022
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