STEPHEN M PUMPHREY LICENSED CLINICAL SOCIAL WORKERS INC

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Adult Mental Health

Code: 261QM0850X

Clinic/Center — Adolescent and Children Mental Health

Code: 261QM0855X

Social Worker — Clinical

Code: 1041C0700X

Community/Behavioral Health

Code: 251S00000X