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Individual

JAMIE MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APSW, CSAC

Contact information

Practice address
2640 W POINT RD, GREEN BAY, WI 54304-1344
(920) 490-3733
(920) 445-0174
Mailing address
ATTN: CREDENTIALING SPECIALIST, PO BOX 365, ONEIDA, WI 54155-0365
(920) 490-3790
(920) 490-3845

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16404-132
WI
104100000X
Social Worker
Primary
130186
WI

Other

Enumeration date
09/07/2016
Last updated
05/14/2025
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