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Individual

DAVID PRUPAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
139 STRATFORD PL, LAKEWOOD, NJ 08701-1468
(732) 668-4436
Mailing address
139 STRATFORD PL, LAKEWOOD, NJ 08701-1468
(732) 668-4436

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05970200
NJ

Other

Enumeration date
10/21/2015
Last updated
10/21/2015
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