Individual
MADYSEN PRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 ROBE MENZEL RD, GRANITE FALLS, WA 98252
(425) 366-9878
Mailing address
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0580
(425) 366-9878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60810766
WA
Other
Enumeration date
08/12/2015
Last updated
07/06/2022
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