| Doctor Name: | SANDRA A MURDOCK |
| NPI Number: | 1023339744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LISAC-10304 |
| Business Practice Address: | 102 N Florence St Casa Grande, AZ - 851224419 |
| Business Phone Number: | 5208361675 |
| Business Fax Number: | 5208361668 |
| Mailing Address: | 210 E Cottonwood Ln, CASA GRANDE |
| State: | AZ |
| Postal Code: | 851222514 |
| Phone Number: | 5208361688 |
| Fax Number: | 5204212708 |
| NPI Enumeration Date: | 06/16/2010 |
| NPI Last Update Date: | 06/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC-10304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |