JADE KELLY PRUSIA

OMAHA, NE
NPI1164145090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   13108)
Enumeration Date2022-09-26
Last Update Date2022-09-26
Business Address
JADE KELLY PRUSIA PLMHP
5217 S 28TH ST
OMAHA, NE 68107-3402
Phone number: 402-715-5446
Mailing Address
JADE KELLY PRUSIA PLMHP
2723 Q ST
OMAHA, NE 68107-3408
Phone number: 402-715-5446
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