Individual
MRS. MISTY DAWN MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLBA
Contact information
Practice address
303 SECOND ST, SOMERSET, KY 42501-2390
(606) 677-1166
Mailing address
282 HAZELWOOD RD, ANNVILLE, KY 40402-9075
(606) 364-2126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
244267
KY
222Q00000X
Developmental Therapist
201136144
KY
Other
Enumeration date
06/07/2013
Last updated
09/26/2018
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