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General NPI Number Information
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NPI Number | 1407183916
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Entity Type | Individual
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Provider Name | ELYSE A SELZER LSCSW
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Gender | Female
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1807 E MARY ST STE 5
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City | GARDEN CITY
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State | KS
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Zip | 67846-3877
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Country | US
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Telephone | 620-315-4073
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Fax | 620-315-4320
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Provider Business Mailing Address
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Address Line | 1807 E MARY ST STE 5
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City | GARDEN CITY
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State | KS
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Zip | 67846-3877
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Country | US
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Telephone | 620-315-4073
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Fax | 620-315-4320
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 621
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4252
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License Number State | KS
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