Provider Demographics
NPI:1639689888
Name:MURRAY JOSEPH, EMILY (BSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MURRAY JOSEPH
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 MYRTLE ST NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-3057
Mailing Address - Country:US
Mailing Address - Phone:175-994-3205
Mailing Address - Fax:
Practice Address - Street 1:2905 WILSON AVE SW STE 252
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-1206
Practice Address - Country:US
Practice Address - Phone:616-284-1202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical