Individual
MR. CLENNIE H MURPHY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8609 2ND AVE STE 506B, SILVER SPRING, MD 20910-3362
(240) 726-5909
Mailing address
12802 MAIDENWOOD TER, BELTSVILLE, MD 20705-6337
(240) 726-5909
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB835813
MD
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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