Individual
LINDA LATISE MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 OAK ST, FARMVILLE, VA 23901-1199
(434) 233-1683
Mailing address
1562 GREENS CHAPEL RD, BRODNAX, VA 23920-2221
(434) 233-1683
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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