RUSSELL PRAUSE

GLENDALE, AZ
NPI1417560806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-18437)
Enumeration Date2020-08-26
Last Update Date2020-08-26
Business Address
RUSSELL PRAUSE MS, LAC
17431 N 71ST DR STE 103
GLENDALE, AZ 85308-8598
Phone number: 602-633-2246
Mailing Address
RUSSELL PRAUSE MS, LAC
17431 N 71ST DR STE 103
GLENDALE, AZ 85308-8598
Phone number:
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