Individual
LEWIS PAIGE SEGO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LMFT
Contact information
Practice address
102 MARTY DR STE 2, BUFFALO, MN 55313-9345
(763) 682-5420
Mailing address
102 MARTY DR STE 2, BUFFALO, MN 55313-9345
(763) 682-5420
(763) 682-5413
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3839
MN
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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