MEDICARE: LAURA L MCMURRY MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	006247	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053629394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA L MCMURRY MSW, LCSW

Provider Business Mailing Address
First Line	:	PO BOX 7479
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65205-7479
Country	:	US
Telephone Number	:	573-447-8388
Fax Number	:	573-447-7433

Provider Business Practice Location Address
First Line	:	1900 N PROVIDENCE RD STE 305
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65202-3710
Country	:	US
Telephone Number	:	573-447-8388
Fax Number	:	573-447-7433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2010
Last Update Date	:	08/16/2023

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