Individual
JEDEDIAH SELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
3200 32ND STREET BYP, SILVER CITY, NM 88061-7802
(575) 800-1467
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 800-1467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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