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Individual

EMMA DELMAR HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
106 N 4TH ST, CARLSBAD, NM 88220-3816
(575) 654-7679
Mailing address
914 N CANAL ST, CARLSBAD, NM 88220-5110
(575) 885-4836

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0785
NM
106S00000X
Behavior Technician

Other

Enumeration date
04/25/2018
Last updated
12/06/2023
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