Individual
ANDREW W SELANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
6735 VISTAGREEN WAY STE 210, ROCKFORD, IL 61107-5654
(815) 391-3055
Mailing address
4209 CUSHMAN RD, ROCKFORD, IL 61114-6109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020604
IL
Other
Enumeration date
09/20/2018
Last updated
08/20/2024
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