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Individual

MARIE T SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4425 JEFFERSON AVE, SUITE 106, TEXARKANA, AR 71854-1535
(870) 216-1700
(870) 772-5965
Mailing address
4915 TEXAS HIGHWAY 43, BIVINS, TX 75555-2053
(903) 796-4749

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
02075
TX
1041C0700X
Clinical Social Worker
Primary
1349C
AR

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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