TERRA HUMPHREY

CONYERS, GA
NPI1497170716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-02-24
Last Update Date2014-02-24
Business Address
-- TERRA HUMPHREY CACII
1990 OLD PARKER RD SE SUITE 100
CONYERS, GA 30094-6239
Phone number: 678-374-2959
Mailing Address
-- TERRA HUMPHREY CACII
1990 OLD PARKER RD SE SUITE 100
CONYERS, GA 30094-6239
Phone number: 678-374-2959
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