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Organization

MURRELL SOCIAL SERVICES NETWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUTINA MURRELL LMSW (CEO)
(678) 906-3011
Entity
Organization

Contact information

Practice address
696 MOUNT ZION RD, SUITE 9-C, JONESBORO, GA 30236-1597
(678) 906-3011
(678) 802-1970
Mailing address
6859 SLATE STONE WAY SE, MABLETON, GA 30126-5469
(678) 906-3011
(678) 802-1970

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW003257
GA
251S00000X
Community/Behavioral Health Agency
CSW003448
GA
251S00000X
Community/Behavioral Health Agency
LPC003980
GA
251S00000X
Community/Behavioral Health Agency
MSW002271
GA
253J00000X
Foster Care Agency
MSW002271
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
GA
Enumeration date
03/05/2013
Last updated
03/05/2013
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