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1194350496
JORDAN SIERRA PRUSSACK
GREAT FALLS, MT
NPI
1194350496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-LCSW-LIC-33322)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
JORDAN SIERRA PRUSSACK LCSW
1417 9TH ST S STE 300
GREAT FALLS, MT 59405-4509
Phone number: 503-449-1807
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Mailing Address
JORDAN SIERRA PRUSSACK LCSW
6593 LAKE FOREST DR
NINE MILE FLS, WA 99026-9544
Phone number: 503-449-1807
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