Individual
SAUL SELBY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
8669 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 379-0444
(651) 379-0448
Mailing address
8669 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 379-0444
(651) 379-0448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300079
MN
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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