Individual
MS. THERESA R SELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDP
Contact information
Practice address
440 COLLETT AVE, MABLETON, GA 30126-4809
(678) 751-8065
(770) 944-0415
Mailing address
440 COLLETT AVE, MABLETON, GA 30126-4809
(678) 751-8065
(770) 944-0415
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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