Individual
JACOB EZRA SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4455 S 700 E STE 300, SALT LAKE CITY, UT 84107-3076
(435) 671-7819
Mailing address
4455 S 700 E STE 300, SALT LAKE CITY, UT 84107-3076
(435) 671-7819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9435837-3501
UT
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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