Jack L. Humphries, Lisw, Ltd.

NPI #1043376288 in Albuquerque, New Mexico

Provider Information

NPI Number
1043376288
Entity Type
Organization
Organization Name
Jack L. Humphries, Lisw, Ltd.
Primary Specialty
Social Worker - Clinical
Enumeration Date
Dec 30, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
8800 PALOMAR AVE NE
ZIP Code
87109-7205
Phone
(505) 620-5225

Authorized Official

Name
MR. JACK L. HUMPHRIES, LISW
Title
PRESIDENT
Phone
(505) 620-5225

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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