Individual
MRS. JULIE HUMBERT
Active
Individual
MRS. JULIE HUMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15465
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
565G6HU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/02/2006
Last updated
11/07/2018
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