Provider Information for 1477191922
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ANGELA MURPHY LPC
Other Names:Former Name:ANGELA HERRSex: Female
NPI: 1477191922
Last Updated: 2019-12-16
Certification Date: 2019-12-16
Certification Date: 2019-12-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1477191922 | ||||||||
| Enumeration Date | 2019-12-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1387 HAYDEN, ID 83835-1387 United States Phone: 208-415-0299 | Fax:208-625-2070 | ||||||||
| Primary Practice Address | 6795 N MINERAL DR COEUR D ALENE, ID 83815-8700 United States Phone: 208-769-4222 | Fax:844-803-7399 | ||||||||
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