Individual
JESSICA R HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911B SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3303
(270) 535-1245
Mailing address
1911B SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3303
(270) 535-1245
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7617
KY
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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