Individual
JULIE SELWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14 CLARA DR, SUITE 3, MYSTIC, CT 06355-1973
(860) 536-4114
(860) 536-4660
Mailing address
14 CLARA DR, SUITE 3, MYSTIC, CT 06355-1973
(860) 536-4114
(860) 536-4660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001733
CT
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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