Provider Demographics
NPI:1225355449
Name:MURDOCK, NORETTA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NORETTA
Middle Name:
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7918 NW 2ND CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1515
Mailing Address - Country:US
Mailing Address - Phone:352-331-3877
Mailing Address - Fax:352-331-3877
Practice Address - Street 1:7918 NW 2ND CT
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1515
Practice Address - Country:US
Practice Address - Phone:352-331-3877
Practice Address - Fax:352-331-3877
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW64731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical