Individual
REBECCA A HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
58 HIGH ST, TORRINGTON, CT 06790-5106
(860) 496-2100
(860) 496-2111
Mailing address
58 HIGH ST, TORRINGTON, CT 06790-5106
(860) 496-2100
(860) 496-2111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4565
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999
N/A
—
Enumeration date
03/18/2019
Last updated
03/18/2019
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