Individual
ANNETTE HUMBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
9500 EUCLID AVE # A100, CLEVELAND, OH 44195-0001
(216) 702-3868
Mailing address
9889 CLARIUS CIR, TWINSBURG, OH 44087-2939
(216) 702-3868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0010183-SUPV
OH
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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