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1871018010
KATIE J PRUCHA
BROOKFIELD, WI
NPI
1871018010
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Former Name
KATIE J PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 3620-226)
Enumeration Date
2017-08-09
Last Update Date
2017-08-09
Business Address
KATIE J PRUCHA LPC-IT
16535 W BLUEMOUND RD STE 305
BROOKFIELD, WI 53005-5936
Phone number: 800-438-1772
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Mailing Address
KATIE J PRUCHA LPC-IT
W175N11120 STONEWOOD DR
GERMANTOWN, WI 53022-6511
Phone number: 800-438-1772
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