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Individual

MS. TOVA BETH SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC,CDC1

Contact information

Practice address
230 E MARYDALE AVE, SUITE 2, SOLDOTNA, AK 99669-7648
(907) 260-3691
(907) 260-3697
Mailing address
230 E MARYDALE AVE, SUITE 2, SOLDOTNA, AK 99669-7648
(907) 260-3691
(907) 260-3697

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
475
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH0156
AK
Enumeration date
09/29/2006
Last updated
08/06/2008
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