Individual
MS. BETHANY L HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 KING ST, DENVER, CO 80219-1326
(720) 480-6962
Mailing address
325 KING ST, DENVER, CO 80219-1326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09923125
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023132263
—
CO
Enumeration date
05/22/2017
Last updated
05/22/2017
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