Individual
MS. PHYLLIS WADDELL MURRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE, FT STEWART, GA 31314-5604
(912) 435-6779
(912) 435-6863
Mailing address
403 ROGERS RD, HINESVILLE, GA 31313-3731
(912) 369-0473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000655
GA
Other
Enumeration date
08/03/2005
Last updated
07/08/2007
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