Individual
MERANDA SEGREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797
(616) 460-1100
Mailing address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797
(616) 460-1100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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