Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 004621 | NC |
NPI | 1003063637 |
---|---|
Provider Name | Ms. Veronica Murray |
First Address | Franklinton, NC 27525-9313 |
Second Address | Butner, NC 27509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2008 |
Last Update Date | 26/08/2008 |