Individual
MS. LIA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
82 ELM, MANCHESTER CENTER, VT 05255-9370
(802) 367-1068
(802) 367-1069
Mailing address
82-ELM, MANCHESTER CENTER, VT 05255-9370
(508) 364-4331
(802) 367-1069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890061719
VT
Other
Enumeration date
01/15/2010
Last updated
11/19/2014
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