Individual
MR. DEDRICK O MURPHY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 E 29TH ST, INDIANAPOLIS, IN 46205-4160
(317) 292-5123
Mailing address
609 E 29TH ST, INDIANAPOLIS, IN 46205-4160
(317) 292-5123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720489479
—
IN
Enumeration date
10/24/2019
Last updated
10/28/2019
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