Individual
MARVILYNN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST STE 420, SHREVEPORT, LA 71105
(318) 210-0587
(318) 210-0547
Mailing address
2924 KNIGHT ST STE 420, SHREVEPORT, LA 71105-2413
(318) 210-0587
(318) 210-0547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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