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Individual
SIERRA DAWN SELLECK
Active
Individual
SIERRA DAWN SELLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM0800X
CYS - 405 W. 5TH ST., STE 590, SA 92701 - 834-8017
CA
Enumeration date
08/30/2011
Last updated
08/30/2011
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