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General NPI Number Information
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NPI Number | 1689863599
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Entity Type | Organization
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Legal Business Name | CALLIE MURRAY, LCSW, LLC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 2721 N 400 E SUITE 8
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2393
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Country | US
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Telephone | 801-737-1301
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Fax | 801-737-2478
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Provider Business Mailing Address
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Address Line | 2721 N 400 E SUITE 8
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2393
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Country | US
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Telephone | 801-737-1301
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Fax | 801-737-2478
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. CALLIE MURRAY
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Credential | LCSW
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Telephone | 801-737-1301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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