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NPI Code Detail

MEDICARE: MAKENZEY JEAN MURR

MEDICARE: MAKENZEY JEAN MURR
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
1104100000XSocial Worker11443TN
21041C0700XClinical Social Worker8142TN

General Provider Information

NPI Number : 1932829066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENZEY JEAN MURR
Provider Business Mailing Address
First Line : 220 LANGLAND ST
Second Line :
City : KNOXVILLE
State : TN
Zip : 37915-1415
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 220 LANGLAND ST
Second Line :
City : KNOXVILLE
State : TN
Zip : 37915-1415
Country : US
Telephone Number : 865-594-5078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2022
Last Update Date : 09/13/2022

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220 LANGLAND ST
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1114521812 — MRS. AUBREY NOEL MCMILLAN LCSW
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Directions to “ MAKENZEY JEAN MURR ” Practice Location

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