Individual
JENNIFER MARIE PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4500 N LEWIS AVE, SIOUX FALLS, SD 57104-7111
(605) 322-2093
Mailing address
508 KYLE AVE, BALTIC, SD 57003-2029
(507) 215-1543
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
091783
IA
104100000X
Social Worker
26882
MN
104100000X
Social Worker
Primary
4725
SD
104100000X
Social Worker
5659
ND
Other
Enumeration date
05/11/2018
Last updated
11/14/2018
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