Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | SW16761 | FL |
NPI | 1003255449 |
---|---|
Provider Name | Tracy Kim Murphy |
First Address | Winter Springs, FL 32708-5242 |
Second Address | Winter Springs, FL 32708-5242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 29/04/2021 |