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Individual

MR. KERRY ALLAN MARVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
710 PARALLEL ST, ATCHISON, KS 66002-1856
(913) 367-5419
(913) 367-6178
Mailing address
710 PARALLEL ST, ATCHISON, KS 66002-1856
(913) 367-5419
(913) 367-6178

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LCP048
KS

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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