Provider Information for 1841833670
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PRIMROSE HUMPHRIES LMHC
Sex: Female
NPI: 1841833670
Last Updated: 2019-10-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841833670 | ||||||||||||||||
| Enumeration Date | 2019-10-24 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 430 SW 178TH WAY PEMBROKE PINES, FL 33029-4100 United States Phone: 954-668-3406 | Fax: | ||||||||||||||||
| Primary Practice Address | 15800 PINES BLVD # 3073 PEMBROKE PINES, FL 33027-1212 United States Phone: 954-668-3406 | Fax: | ||||||||||||||||
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