Individual
LAURA LEE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRT/CTRS
Contact information
Practice address
4389 BEAUFORT RD, HAVLOCK, NC 28532
(252) 720-0281
Mailing address
239 CROATAN DR, ORIENTAL, NC 28571-8602
(252) 531-1691
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
2041
NC
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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