Individual
DEBRA LEE SELLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 W 11TH AVE, EUGENE, OR 97402-3758
(541) 686-1262
Mailing address
1699 N TERRY ST, 278, EUGENE, OR 97402-7702
(541) 505-7880
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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