Shelton, Marie T

Shelton, Marie T is an individual health care provider with primary practice located at 4425 Jefferson Ave Suite 106, Texarkana AR 71854-1535. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shelton, Marie T can be contacted via phone (870) 216-1700.

Contact Information

Primary practice address
4425 Jefferson Ave Suite 106 Texarkana AR 71854-1535
Phone: (870) 216-1700
Fax: (870) 772-5965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1349C Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 02075 Texas

Profile Details

NPI number 1003953357
LBN Legal business name Shelton, Marie T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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