Individual
JENNIFER SELDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 FOREST AVE, LOCUST VALLEY, NY 11560-1713
(631) 327-3054
Mailing address
41 MAPLE AVE, LOCUST VALLEY, NY 11560-2006
(631) 327-3054
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002170
NY
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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