Individual
VALERIE SELVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 PATRICIA ST, BAKER, LA 70714-3521
(225) 335-1643
Mailing address
1003 PATRICIA ST, BAKER, LA 70714-3521
(225) 335-1643
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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