Individual
COLLEEN ADAIR SELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1209 W TOKAY ST, STE.8, LODI, CA 95240-3845
(209) 367-8547
Mailing address
301 N CRESCENT AVE, LODI, CA 95240-1600
(209) 367-8547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9927
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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