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General NPI Number Information
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NPI Number | 1699933184
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Entity Type | Organization
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Legal Business Name | MARILYN K SHROYER MS LPC COUNSELING
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 2802 GARTH RD SUITE 105
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City | BAYTOWN
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State | TX
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Zip | 77521-3900
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Country | US
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Telephone | 281-427-5208
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Fax | 281-428-0937
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Provider Business Mailing Address
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Address Line | 124 CALDWELL ST
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City | BAYTOWN
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State | TX
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Zip | 77520-1210
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Country | US
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Telephone | 281-424-9100
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. MARILYN KAY SHROYER
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Credential | LPC
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Telephone | 281-427-5208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10420
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License Number State | TX
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