Individual
NEORITHA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1739 CAROLYN PARK DR, SAINT LOUIS, MO 63130-1033
(314) 428-8278
(314) 428-7670
Mailing address
1739 CAROLYN PARK DR, SAINT LOUIS, MO 63130-1033
(314) 482-8278
(314) 428-7670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041C0700X
MO
1041C0700X
Clinical Social Worker
SW003455
MO
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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