Individual
MRS. JORDAN SELEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKHILL SQ S, SUGARLOAF, PA 18249-1016
(570) 802-3099
Mailing address
769 ARTHUR ST, FREELAND, PA 18224-1202
(570) 855-0830
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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