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NPI 1821306754

NPI 1821306754 : SUSAN J MURPHY MSW, LCSW : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1821306754
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    Entity Type          |    Individual 
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    Provider Name        |    SUSAN J MURPHY MSW, LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/14/2010
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    Last Update Date     |    02/06/2018
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Provider Practice Location Address
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    Address Line         |    4935 N 30TH ST STE 130 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80919-3109
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    Country              |    US
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    Telephone            |    719-822-4393
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2614 LOGAN CIR 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80907-6412
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    Country              |    US
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    Telephone            |    719-822-4939
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    Fax                  |    
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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       |    CSW.09923100
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    License Number State |    CO
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