Provider Demographics
NPI:1003417189
Name:MCMURROUGH, PAULA (LICSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:MCMURROUGH
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 CUMBERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-5602
Mailing Address - Country:US
Mailing Address - Phone:508-369-1581
Mailing Address - Fax:
Practice Address - Street 1:91 CUMBERLAND AVE
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-5602
Practice Address - Country:US
Practice Address - Phone:508-369-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1168691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical