Individual
SELENA MILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.A
Contact information
Practice address
1353 N WESTMORELAND RD, BLDG F, DALLAS, TX 75211-1655
(214) 333-7063
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-1272
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36590
TX
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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