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Individual

DR. SAMINA AHMED JAUREGUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 286-7150
Mailing address
11100 EUCLID AVE FL BOLWELL6, CLEVELAND, OH 44106-1716
(216) 286-7150

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.07819
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
178.008576
ILLINOIS STATE LICENSE
IL
Enumeration date
11/14/2013
Last updated
12/31/2020
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