Individual
JULIE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16020 SWINGLEY RIDGE RD, CHESTERFIELD, MO 63017-6030
(314) 252-8683
Mailing address
332 BELLEZZA DR, BALLWIN, MO 63021-6402
(314) 313-0769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018023193
MO
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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