Individual
MR. RONALD BACZURIK
Active
Individual
MR. RONALD BACZURIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2776
NC
103T00000X
Psychologist
1845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104976
—
NC
Enumeration date
06/25/2006
Last updated
07/31/2013
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