Individual
MARQUETTE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1642 E OVERTON RD, DALLAS, TX 75216-5508
(888) 610-2819
Mailing address
2633 MCKINNEY AVE, SUITE 212, DALLAS, TX 75204-2581
(888) 610-2819
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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