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1114223542
KIM D PRUSHA
MENASHA, WI
NPI
1114223542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 397)
Enumeration Date
2011-02-02
Last Update Date
2023-12-08
Business Address
KIM D PRUSHA LPC
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
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Mailing Address
KIM D PRUSHA LPC
3 NEENAH CTR
NEENAH, WI 54956-3070
Phone number: 920-720-2300
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