JACOB JEFFRY BACZUK

OGDEN, UT
NPI1225693591
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2019-05-02
Last Update Date2019-05-02
Business Address
JACOB JEFFRY BACZUK
1525 LINCOLN AVE
OGDEN, UT 84404-5638
Phone number: 801-706-6677
Mailing Address
JACOB JEFFRY BACZUK
1525 LINCOLN AVE
OGDEN, UT 84404-5638
Phone number: 801-706-6677
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