Individual
SELAH ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 375-5000
(520) 281-4487
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2128
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
16973
AZ
1041C0700X
Clinical Social Worker
65576
TX
1041C0700X
Clinical Social Worker
Primary
LCSW-22820
AZ
Other
Enumeration date
10/10/2023
Last updated
08/26/2025
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