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Provider Information for 1407293798


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BRIDGET MARIE STEVENS-MURPHY LICSW


Sex: Female

NPI: 1407293798
Last Updated: 2020-07-28
Certification Date: 2020-07-28

Details

NameValue
NPI1407293798
Enumeration Date2013-05-28
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 5009 WINDSOR AVE
EDINA, MN 55436-2440
United States

Phone: 612-524-8860 | Fax:
 
Primary Practice Address 3025 HARBOR LN N
SUITE 316
PLYMOUTH, MN 55447-5119
United States

Phone: 763-553-0344 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker MN20016