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Individual

MARVIN WALTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
3601 PLEASANT HOLLOW DR APT 58, MEMPHIS, TN 38115-4398
(901) 565-0418

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/09/2009
Last updated
11/09/2009
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