Individual
JANICA HUMPHREY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4513 SUMMIT RIDGE DR, JONESBORO, AR 72404-9103
(731) 413-4196
Mailing address
4513 SUMMIT RIDGE DR, JONESBORO, AR 72404-9103
(731) 413-4196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7555-C
AR
Other
Enumeration date
06/27/2015
Last updated
05/02/2025
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