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NPI Code Detail

MEDICARE: MRS. AMY COBB MURRAY LCSW

MEDICARE: MRS. AMY COBB MURRAY 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 WorkerC007187NC

General Provider Information

NPI Number : 1619257631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMY COBB MURRAY LCSW
Provider Business Mailing Address
First Line : 8304 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1697
Country : US
Telephone Number : 919-870-8409
Fax Number :
Provider Business Practice Location Address
First Line : 8304 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1697
Country : US
Telephone Number : 919-870-8409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2011
Last Update Date : 08/22/2011

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