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General NPI Number Information
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NPI Number | 1780628230
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Entity Type | Individual
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Provider Name | CAROL M MURRAY LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 6320 MONONA DR SUITE 314 MONONA MEDIATION & COUNSELING
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City | MONONA
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State | WI
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Zip | 53716-3952
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Country | US
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Telephone | 608-442-3420
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Fax | 608-442-3421
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Provider Business Mailing Address
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Address Line | 6320 MONONA DR SUITE 314 MONONA MEDIATION & COUNSELING
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City | MONONA
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State | WI
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Zip | 53716-3952
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Country | US
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Telephone | 608-442-3420
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Fax | 608-442-3421
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 913-123
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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