William Thomas Humphrey

NPI #1265923148 in Viroqua, Wisconsin

Provider Information

NPI Number: 1265923148
Entity Type: Individual
Name: William Thomas Humphrey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 25, 2018
Last Updated: May 25, 2018

Practice Location

Address: 433 W MAPLE ST
City: Viroqua
State: Wisconsin
ZIP Code: 54665-1930
Phone: (608) 606-9004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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