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NPI Code Detail

MEDICARE: MAREA M. MURRAY MSW, LCSW

MEDICARE: MAREA M. MURRAY 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
11041C0700XClinical Social WorkerLCS20292CA

General Provider Information

NPI Number : 1205855681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAREA M. MURRAY MSW, LCSW
Provider Business Mailing Address
First Line : 1605 JEFFERSON ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-1215
Country : US
Telephone Number : 510-923-1099
Fax Number :
Provider Business Practice Location Address
First Line : 1605 JEFFERSON ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-1215
Country : US
Telephone Number : 510-923-1099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 06/25/2024

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