Individual
HOLLY SELEPOUCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 HALLOWOOD DR, EAST STROUDSBURG, PA 18302-7728
(973) 670-6893
Mailing address
527 HALLOWOOD DR, EAST STROUDSBURG, PA 18302-7728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC058533900
NJ
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/27/2019
Last updated
03/04/2024
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