Individual
DAVID HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 600-1755
Mailing address
104 MCMURRAY ST, FREDERICK, MD 21701-6511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15414
MD
Other
Enumeration date
05/17/2010
Last updated
12/01/2012
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