Individual
REGINA MARIE MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11 2ND AVE E, STE. B, DICKINSON, ND 58601-5218
(701) 483-9720
Mailing address
1612 PRAIRIE AVE, APT. #13, DICKINSON, ND 58601-2954
(701) 483-7133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2642
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19137
—
ND
01
—
21392
BCBS
ND
01
—
2642
LICSW
ND
Enumeration date
03/09/2006
Last updated
09/27/2007
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