Individual
MS. ELIDA M SEGRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. S.
Contact information
Practice address
351 N. STATE ROAD 7, SUITE 200, PLANTATION, FL 33317-2859
(954) 327-4069
(954) 792-9122
Mailing address
351 N. STATE ROAD 7, SUITE 200, PLANTATION, FL 33317-2859
(954) 327-4069
(954) 792-9122
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 2187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768820200
—
FL
Enumeration date
11/08/2007
Last updated
01/07/2011
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