Individual
KATHLEEN HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PLCSW
Contact information
Practice address
6000 HOSPITAL DRIVE, HANNIBAL, MO 63401
(573) 248-5228
Mailing address
23883 GRANITE AVE, LEWISTOWN, MO 63452-2462
(573) 497-2484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005038218
MO
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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