Selby, Michelle R

Selby, Michelle R is an individual health care provider with primary practice located at 45 Mallett Dr , Freeport ME 04032-1312. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Selby, Michelle R can be contacted via phone (207) 894-8104.

Contact Information

Primary practice address
45 Mallett Dr Freeport ME 04032-1312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16286 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC16286 Maine

Profile Details

NPI number 1275089120
LBN Legal business name Selby, Michelle R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2016
Last updated Oct 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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