JEAN MARIE PRUSCHA

RACINE, WI
NPI1225168891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  11083-132)
Enumeration Date2007-03-06
Last Update Date2007-07-09
Business Address
Ms. JEAN MARIE PRUSCHA CSAC, ICS
840 LAKE AVE SUITE 101
RACINE, WI 53403-1566
Phone number: 262-634-8688
Mailing Address
Ms. JEAN MARIE PRUSCHA CSAC, ICS
N3157 WILLIAMS ST
LAKE GENEVA, WI 53147-3532
Phone number: 262-249-0382
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