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Individual
SELA A SANBERG
Active
Individual
SELA A SANBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLP
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
01/18/2011
Last updated
05/10/2012
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