Individual
JUSTIN SEGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9820 N CENTRAL AVE UNIT 110, PHOENIX, AZ 85020-1054
(309) 299-8833
Mailing address
9820 N CENTRAL AVE UNIT 110, PHOENIX, AZ 85020-1054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004501
IL
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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