Individual
SUSAN LOUISE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
106 CALHOUN ST, GALAX, VA 24333-3840
(276) 238-8885
(276) 238-8822
Mailing address
106 CALHOUN ST, GALAX, VA 24333-3840
(276) 238-8885
(276) 238-8822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000932
VA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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