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NPI Code Detail

MEDICARE: MRS. HEATHER RENEE MURPHY LMSW

MEDICARE: MRS. HEATHER RENEE MURPHY LMSW
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 Worker
21041C0700XClinical Social Worker6801099643MI

General Provider Information

NPI Number : 1972094936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER RENEE MURPHY LMSW
Provider Business Mailing Address
First Line : 10801 S SAGINAW ST STE D
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8126
Country : US
Telephone Number : 810-771-4074
Fax Number : 810-866-4450
Provider Business Practice Location Address
First Line : 10801 S SAGINAW ST STE D
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8126
Country : US
Telephone Number : 810-771-4074
Fax Number : 810-866-4450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 08/19/2025

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