Most Relevant Information
Provider Data
NPI Number: | 1003183914 |
Provider Name: | LARAMIE C SELMAN LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 61409 |
Most Important Dates
Enumeration Date: | 11/20/2011 |
Last Updated: | 11/20/2011 |
Provider Practice Location
4101 UNIVERSITY BLVD
TYLER
TX
757016623
Practice Location Phone/Fax
Phone: | 9033637704 |
Fax: |
Provider Mailing Location
PO BOX 883
FRANKSTON
TX
757630883
Provider Mailing Phone/Fax
Phone: | 9033637704 |
Fax: |