Individual
MARTHA LOUSIA SELPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1435 HAW CREEK CIR STE 403, CUMMING, GA 30041-6567
(770) 940-9679
Mailing address
1435 HAW CREEK CIR STE 403, CUMMING, GA 30041-6567
(770) 940-9679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW010890
GA
1041C0700X
Clinical Social Worker
Primary
MSW010890
GA
Other
Enumeration date
08/25/2022
Last updated
09/20/2022
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