Individual
MS. CARRIE BETH SESLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
138 W MAIN ST, SOMERSET, PA 15501-2037
(814) 443-4780
(814) 443-4758
Mailing address
138 W MAIN ST, SOMERSET, PA 15501-2037
(814) 443-4780
(814) 443-4758
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW013358L
PA
1041C0700X
Clinical Social Worker
Primary
CW015265
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015863310003
—
PA
05
—
1015863310004
—
PA
Enumeration date
07/22/2005
Last updated
06/11/2014
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