Individual
MR. GRANT HUMPHRIES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 S JONES BLVD, LAS VEGAS, NV 89107-3614
(702) 331-4874
Mailing address
720 S JONES BLVD, LAS VEGAS, NV 89107-3614
(702) 331-4874
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12604-M
NV
Other
Enumeration date
12/07/2023
Last updated
09/15/2025
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