| Doctor Name: | MS. PHYLLIS WADDELL MURRAY |
| NPI Number: | 1306847033 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 000655 |
| Business Practice Address: | 1061 Harmon Ave Ft Stewart, GA - 313145604 |
| Business Phone Number: | 9124356779 |
| Business Fax Number: | 9124356863 |
| Mailing Address: | 403 Rogers Rd, HINESVILLE |
| State: | GA |
| Postal Code: | 313133731 |
| Phone Number: | 9123690473 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 000655 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |