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Individual

BONNIE SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1109 E. MAIN STREET, MELBOURNE, AR 72556
(870) 368-4397
Mailing address
PO BOX 725, MELBOURNE, AR 72556-0725

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
880-C
AR

Other

Enumeration date
08/18/2006
Last updated
07/08/2007
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