Most Relevant Information
Provider Data
| NPI Number: | 1003244302 |
| Provider Name: | DENE LOGAN SELKIN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/23/2013 |
| Last Updated: | 10/23/2013 |
Provider Practice Location
4079 GLENCOE AVE # 121
MARINA DEL REY
CA
902925872
Practice Location Phone/Fax
| Phone: | 3108692992 |
| Fax: |
Provider Mailing Location
4079 GLENCOE AVE # 121
MARINA DEL REY
CA
902925872
Provider Mailing Phone/Fax
| Phone: | 3108692992 |
| Fax: |