Provider Demographics
NPI:1467664805
Name:DABBY, MURRAY (MSW)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:
Last Name:DABBY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2964 WHITBY DR
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30340-4918
Mailing Address - Country:US
Mailing Address - Phone:404-633-3282
Mailing Address - Fax:404-982-0997
Practice Address - Street 1:1758 CENTURY BLVD NE STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3392
Practice Address - Country:US
Practice Address - Phone:404-633-3282
Practice Address - Fax:404-982-0997
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0011271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical