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1316560915
MICHAEL G SKALECKI
BELLEVUE, WA
NPI
1316560915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
Mr. MICHAEL G SKALECKI SUDPT
1412 140TH PL NE
BELLEVUE, WA 98007-3915
Phone number: 425-747-7892
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Mailing Address
Mr. MICHAEL G SKALECKI SUDPT
1412 140TH PL NE
BELLEVUE, WA 98007-3915
Phone number: 425-747-7892
Copy
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