Individual
MICHELLE R SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45 MALLETT DR, FREEPORT, ME 04032-1312
(207) 894-8104
Mailing address
27 WILSON RD, CUMBERLAND, ME 04021-3120
(620) 340-7888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16286
ME
1041C0700X
Clinical Social Worker
Primary
LC16286
ME
Other
Enumeration date
08/31/2016
Last updated
10/14/2019
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