Individual
JC MIELKE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
7474 GREENWAY CENTER DRIVE, SUITE 730, GREENBELT, MD 20770
(301) 345-1022
(301) 560-5558
Mailing address
8723 REICHS FORD RD, FREDERICK, MD 21704-6851
(410) 736-2187
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10174
MD
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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