Individual
ANITA GAYLE SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
264 W COMMUNITY CHAPEL RD, ATOKA, OK 74525-4014
(580) 380-1089
Mailing address
PO BOX 1094, ATOKA, OK 74525-1094
(580) 380-1089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1947
OK
1041C0700X
Clinical Social Worker
Primary
4026
OK
Other
Enumeration date
07/19/2007
Last updated
09/26/2011
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