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
- City
- Albuquerque
- State
- New Mexico
- 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 - Clinical — Clinical |
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