Individual
MR. LARRY CLINTON MARABLE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
910 TEAKWOOD LANE, DESOTO, TX 75115
(469) 223-5474
Mailing address
910 TEAKWOOD LN, DESOTO, TX 75115-5256
(469) 223-5474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7691
TX
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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