Individual
SELENA L. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 LIBERTY ST, ERIE, PA 16502-1263
(814) 384-0427
Mailing address
1344 W 20TH ST, ERIE, PA 16502-2305
(814) 384-0427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137908
PA
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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