Individual
MR. MARLON A WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5261 DELMAR BLVD, SAINT LOUIS, MO 63108-1063
(314) 449-1180
(314) 449-1181
Mailing address
1218 SHEPLEY DR, SAINT LOUIS, MO 63137-3505
(314) 255-9665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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