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Individual

FELICA (LISA) A SELENKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, CGT

Contact information

Practice address
819 1ST ST, DUNELLEN, NJ 08812-1038
(732) 968-7999
(732) 968-0783
Mailing address
819 FIRST ST, DUNELLEN, NJ 08812-1038
(732) 968-7999
(732) 968-0783

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/13/2010
Last updated
07/06/2011
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