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NPI Code Detail

MEDICARE: MS. ELAINE PERRY MURPHY LCSW,ACSW

MEDICARE:  MS. ELAINE PERRY MURPHY  LCSW,ACSW
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 Worker00752TX

General Provider Information

NPI Number : 1700800638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELAINE PERRY MURPHY LCSW,ACSW
Provider Business Mailing Address
First Line : 1818 MEADOW CREST DR
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-7059
Country : US
Telephone Number : 682-223-1168
Fax Number :
Provider Business Practice Location Address
First Line : 12700 HILLCREST RD
Second Line : SUITE 258
City : DALLAS
State : TX
Zip : 75230-2033
Country : US
Telephone Number : 972-233-1010
Fax Number : 972-233-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 09/07/2011

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Directions to “ MS. ELAINE PERRY MURPHY LCSW,ACSW” Practice Location

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