BLAKE PROCHNOW

PRESCOTT, WI
NPI1164093860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-05
Last Update Date2021-07-05
Business Address
BLAKE PROCHNOW
1380 WALNUT ST
PRESCOTT, WI 54021-1010
Phone number: 612-382-3458
Mailing Address
BLAKE PROCHNOW
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-379-1752
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