Individual
MRS. EMILY ANN SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(337) 239-3334
(337) 239-3336
Mailing address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-10436
LA
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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