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Individual

CAROL MARIE HUMPHREYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TH.D., MSW

Contact information

Practice address
528 E MAIN ST, STE W, JOHN DAY, OR 97845-1289
(541) 575-1466
(541) 575-1411
Mailing address
PO BOX 311, MITCHELL, OR 97750-0311
(541) 575-1466

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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