Individual
CARISA SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9810 DARTMOOR PONY, SAN ANTONIO, TX 78254-4707
(404) 578-0605
Mailing address
9810 DARTMOOR PONY, SAN ANTONIO, TX 78254-4707
(404) 578-0605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
63347
TX
1041C0700X
Clinical Social Worker
CSW005389
GA
Other
Enumeration date
07/21/2015
Last updated
09/09/2024
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