Provider Demographics
NPI:1669612842
Name:MURPHY, DAWN MARIE (DBH, LCSW)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:MARIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DBH, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 N PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85120-5502
Mailing Address - Country:US
Mailing Address - Phone:928-373-6770
Mailing Address - Fax:
Practice Address - Street 1:625 N PLAZA DR
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-5502
Practice Address - Country:US
Practice Address - Phone:928-373-6770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010867241041C0700X
AZLCSW188641041C0700X
PASW1304131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical