MICHAEL THOMAS JACEZKO

SEATTLE, WA
NPI1942188735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  70012996)
Enumeration Date2025-08-21
Last Update Date2025-08-21
Business Address
MICHAEL THOMAS JACEZKO
1660 S COLUMBIAN WAY
SEATTLE, WA 98108-1532
Phone number: 206-762-1010
Mailing Address
MICHAEL THOMAS JACEZKO
430 12TH AVE E APT 207
SEATTLE, WA 98102-5149
Phone number: 314-707-6778
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