JORDAN SIERRA PRUSSACK

GREAT FALLS, MT
NPI1194350496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MT  BBH-LCSW-LIC-33322)
Enumeration Date2020-03-06
Last Update Date2020-03-06
Business Address
JORDAN SIERRA PRUSSACK LCSW
1417 9TH ST S STE 300
GREAT FALLS, MT 59405-4509
Phone number: 503-449-1807
Mailing Address
JORDAN SIERRA PRUSSACK LCSW
6593 LAKE FOREST DR
NINE MILE FLS, WA 99026-9544
Phone number: 503-449-1807