Individual
ELECIA A SELMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 W MOCKINGBIRD LN STE 4000, DALLAS, TX 75235-5014
(972) 935-1247
Mailing address
126 WOODED CREEK DR, RED OAK, TX 75154-6234
(972) 935-1247
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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