Individual
JULIA LAUREN JECZMIONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
2520 UNIVERSITY PARK, MT PLEASANT, MI 48858-4464
(989) 293-6831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MI
235Z00000X
Speech-Language Pathologist
Primary
7101008077
MI
Other
Enumeration date
06/18/2018
Last updated
07/27/2022
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