Individual
MARVIN HERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 675-0804
(318) 925-9030
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 675-0804
(318) 925-9030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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