Organization
CHAYA SELESNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAYA SELESNY LMSW (CLINICAL SOCIAL WORKER)
(248) 231-2488
Entity
Organization
Contact information
Practice address
23135 LAUREL VALLEY ST, SOUTHFIELD, MI 48034-2012
(248) 231-2488
Mailing address
25131 RIDGE CLIFF DR, SOUTHFIELD, MI 48075-2022
(248) 231-2488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801078038
MI
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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