Individual
MRS. CAITLYN COTA SELPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, GC-C
Contact information
Practice address
207 HUDSON TRCE STE 100, AUGUSTA, GA 30907-2010
(706) 204-1366
Mailing address
873 CHESHAM AVE, GROVETOWN, GA 30813-5985
(706) 829-1495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007728
GA
Other
Enumeration date
10/14/2021
Last updated
05/17/2023
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