Individual
TRACIE M HUMBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
12503 WILLOWBROOK RD, CUMBERLAND, MD 21502-2554
(301) 759-5280
(301) 777-5630
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5280
(301) 777-5630
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17356
MD
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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