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Individual

SUZANNE M HOCKLEY MURRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
Mailing address
1590 HONEY CREEK CIR, PLAIN, WI 53577-9784

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2576-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14398
DEAN HEALTH PLAN
WI
01
2020194
PHYSICIANS PLUS
WI
05
39150600
WI
01
396005740-39
UNITY
WI
Enumeration date
04/19/2007
Last updated
07/08/2007
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