MR. Marvin Boyd Shannon III, L.P.C.

NPI #1891054961 in Grapevine, Texas

Provider Information

NPI Number
1891054961
Entity Type
Individual
Name
MR. Marvin Boyd Shannon III, L.P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
L.P.C.
Enumeration Date
May 10, 2012
Last Updated
May 10, 2012

Practice Location

Address
400 N MAIN ST
Address 2
SUITE 104
State
Texas
ZIP Code
76051-3300
Phone
(817) 360-2300

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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