Individual
MR. MARVIN MAURICE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.M.S.W.
Contact information
Practice address
201 POPLAR AVE, MEMPHIS, TN 38103-1945
(901) 545-2603
Mailing address
1830 KENDALE AVE, MEMPHIS, TN 38114-1908
(901) 857-1817
(901) 474-1817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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