Individual
SHIRLEY MURATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L1475
OR
1041C0700X
Clinical Social Worker
Primary
LCSW302
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW302
IDAHO LICENSE
ID
Enumeration date
07/03/2006
Last updated
07/08/2007
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