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Individual

MS. AUTUMN ANEE MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCCSLP

Contact information

Practice address
2640 FAIRMOUNT LN, TALLAHASSEE, FL 32308-4261
(850) 562-4488
Mailing address
2640 FAIRMOUNT LN, TALLAHASSEE, FL 32308-4261
(850) 562-4488

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9005
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
892360400
FL
Enumeration date
09/04/2007
Last updated
01/06/2011
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