Individual
MS. SELINA CAMILLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 BENFIELD BLVD STE 200, MILLERSVILLE, MD 21108-3004
(240) 623-4684
Mailing address
1111 BENFIELD BLVD STE 200, MILLERSVILLE, MD 21108-3004
(240) 623-4684
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21419
—
MD
Enumeration date
05/15/2020
Last updated
05/15/2020
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