Individual
JACK YOUNG ZEGLOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
Mailing address
1511 7TH ST W APT 6, SAINT PAUL, MN 55102-4230
(651) 815-5037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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