Individual
JOHANNA M SELISKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7000
Mailing address
11 PINE VIEW DR, HELENA, MT 59601-5534
(406) 202-0608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I05628
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02429276
—
NM
Enumeration date
11/11/2005
Last updated
07/25/2022
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