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Individual

MR. BENJAMIN ALEXIS SEGURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
902 S MYRTLE AVE, MONROVIA, CA 91016
(626) 357-3258
Mailing address
708 1/2 MANCHESTER DR, INGLEWOOD, CA 90301-1918
(213) 631-3762

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
34699
CA
1041C0700X
Clinical Social Worker
70058
CA
1041C0700X
Clinical Social Worker
Primary
LCSW70058
CA
171M00000X
Case Manager/Care Coordinator
70058
CA

Other

Enumeration date
03/08/2007
Last updated
02/22/2022
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