Individual
TINA LATASHA SELBY
Active
Individual
TINA LATASHA SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
56150
TX
1041C0700X
Clinical Social Worker
Primary
61008
TX
1041C0700X
Clinical Social Worker
Primary
P007127
NC
Other
Enumeration date
09/11/2012
Last updated
03/09/2026
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