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NPI Code Detail

MEDICARE: MR. MALCOLM ANTHONY MURPHY ED.M,MSW.LICSW

MEDICARE: MR. MALCOLM ANTHONY MURPHY ED.M,MSW.LICSW
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 Worker106721MA

General Provider Information

NPI Number : 1700823457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MALCOLM ANTHONY MURPHY ED.M,MSW.LICSW
Provider Business Mailing Address
First Line : 378 S MAIN ST
Second Line :
City : BRADFORD
State : MA
Zip : 01835-7355
Country : US
Telephone Number : 978-373-1576
Fax Number : 978-521-3449
Provider Business Practice Location Address
First Line : 378 S MAIN ST
Second Line :
City : BRADFORD
State : MA
Zip : 01835-7355
Country : US
Telephone Number : 978-373-1576
Fax Number : 978-521-3449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 07/08/2007

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Directions to “ MR. MALCOLM ANTHONY MURPHY ED.M,MSW.LICSW” Practice Location

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