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1013347806
JENNA PRUSA
WILLMAR, MN
NPI
1013347806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MN 20800)
Enumeration Date
2013-11-15
Last Update Date
2018-11-14
Business Address
JENNA PRUSA LICSW
513 5TH ST SW
WILLMAR, MN 56201-3216
Phone number: 320-214-9692
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Mailing Address
JENNA PRUSA LICSW
420 KELLOGG AVE
AMES, IA 50010-6226
Phone number: 515-233-2250
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