Individual
DIANE MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 776-8912
Mailing address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
(502) 776-8912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY 570
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82000886
—
KY
Enumeration date
06/27/2005
Last updated
04/01/2011
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