Provider Demographics
NPI:1063847614
Name:DEES, MURRAY (LCSWA)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:
Last Name:DEES
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 WAKE FOREST RD
Mailing Address - Street 2:STE. 301
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6866
Mailing Address - Country:US
Mailing Address - Phone:919-878-1590
Mailing Address - Fax:919-878-1593
Practice Address - Street 1:4020 WAKE FOREST RD
Practice Address - Street 2:STE. 301
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6866
Practice Address - Country:US
Practice Address - Phone:919-878-1590
Practice Address - Fax:919-878-1593
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
P0080001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12562470Medicaid