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1770881088
REBECCA LYNN PRUST
MINNEAPOLIS, MN
NPI
1770881088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 17680)
Enumeration Date
2011-03-10
Last Update Date
2011-12-13
Business Address
Ms. REBECCA LYNN PRUST LICSW
1800 CHICAGO AVE
MINNEAPOLIS, MN 55404-1901
Phone number: 612-599-5420
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Mailing Address
Ms. REBECCA LYNN PRUST LICSW
1800 CHICAGO AVE
MINNEAPOLIS, MN 55404-1901
Phone number:
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