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Individual

MELISSA ANN GEORGE-HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
522 BELTRAMI AVE NW, SUITE 116, BEMIDJI, MN 56601-3001
(218) 760-2222
(218) 444-7105
Mailing address
522 BELTRAMI AVE NW, SUITE 116, BEMIDJI, MN 56601-3001
(218) 760-2222
(218) 444-7105

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14486
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288620100
MN
Enumeration date
10/01/2013
Last updated
10/01/2013
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