Individual
AMY MARIE SELVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
Mailing address
606 STATE ROUTE 72 N, JAMESTOWN, OH 45335-9736
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1800775
OH
Other
Enumeration date
01/19/2018
Last updated
10/18/2023
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