Provider Information for 1235723537
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SAMANTHA JO MURPHY LICSW
Sex: Female
NPI: 1235723537
Last Updated: 2024-05-21
Certification Date: 2024-01-24
Certification Date: 2024-01-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1235723537 | ||||||||
| Enumeration Date | 2021-02-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 25076 OAKLAND BEACH LN DETROIT LAKES, MN 56501-7788 United States Phone: 218-849-8712 | Fax: | ||||||||
| Primary Practice Address | 519 ANNE ST NW STE B BEMIDJI, MN 56601-4278 United States Phone: 218-444-2845 | Fax: | ||||||||
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